Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis
Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor servic...
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| Autor*in: |
MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Chinesisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
contracted family doctor services|influence mechanism|grounded theory|qualitative research |
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| Übergeordnetes Werk: |
In: Zhongguo quanke yixue - Chinese General Practice Publishing House Co., Ltd, 2024, 26(2023), 10, Seite 1192-1197 |
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| Übergeordnetes Werk: |
volume:26 ; year:2023 ; number:10 ; pages:1192-1197 |
| Links: |
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| DOI / URN: |
10.12114/j.issn.1007-9572.2022.0719 |
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DOAJ091496888 |
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| 520 | |a Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. | ||
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10.12114/j.issn.1007-9572.2022.0719 doi (DE-627)DOAJ091496888 (DE-599)DOAJ72bc53376220417c84a9ab4800b73e06 DE-627 ger DE-627 rakwb chi MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei verfasserin aut Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. contracted family doctor services|influence mechanism|grounded theory|qualitative research Medicine R In Zhongguo quanke yixue Chinese General Practice Publishing House Co., Ltd, 2024 26(2023), 10, Seite 1192-1197 (DE-627)DOAJ090664779 10079572 nnns volume:26 year:2023 number:10 pages:1192-1197 https://doi.org/10.12114/j.issn.1007-9572.2022.0719 kostenfrei https://doaj.org/article/72bc53376220417c84a9ab4800b73e06 kostenfrei https://www.chinagp.net/fileup/1007-9572/PDF/zx20220719.pdf kostenfrei https://doaj.org/toc/1007-9572 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 26 2023 10 1192-1197 |
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10.12114/j.issn.1007-9572.2022.0719 doi (DE-627)DOAJ091496888 (DE-599)DOAJ72bc53376220417c84a9ab4800b73e06 DE-627 ger DE-627 rakwb chi MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei verfasserin aut Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. contracted family doctor services|influence mechanism|grounded theory|qualitative research Medicine R In Zhongguo quanke yixue Chinese General Practice Publishing House Co., Ltd, 2024 26(2023), 10, Seite 1192-1197 (DE-627)DOAJ090664779 10079572 nnns volume:26 year:2023 number:10 pages:1192-1197 https://doi.org/10.12114/j.issn.1007-9572.2022.0719 kostenfrei https://doaj.org/article/72bc53376220417c84a9ab4800b73e06 kostenfrei https://www.chinagp.net/fileup/1007-9572/PDF/zx20220719.pdf kostenfrei https://doaj.org/toc/1007-9572 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 26 2023 10 1192-1197 |
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10.12114/j.issn.1007-9572.2022.0719 doi (DE-627)DOAJ091496888 (DE-599)DOAJ72bc53376220417c84a9ab4800b73e06 DE-627 ger DE-627 rakwb chi MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei verfasserin aut Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. contracted family doctor services|influence mechanism|grounded theory|qualitative research Medicine R In Zhongguo quanke yixue Chinese General Practice Publishing House Co., Ltd, 2024 26(2023), 10, Seite 1192-1197 (DE-627)DOAJ090664779 10079572 nnns volume:26 year:2023 number:10 pages:1192-1197 https://doi.org/10.12114/j.issn.1007-9572.2022.0719 kostenfrei https://doaj.org/article/72bc53376220417c84a9ab4800b73e06 kostenfrei https://www.chinagp.net/fileup/1007-9572/PDF/zx20220719.pdf kostenfrei https://doaj.org/toc/1007-9572 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 26 2023 10 1192-1197 |
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10.12114/j.issn.1007-9572.2022.0719 doi (DE-627)DOAJ091496888 (DE-599)DOAJ72bc53376220417c84a9ab4800b73e06 DE-627 ger DE-627 rakwb chi MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei verfasserin aut Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. contracted family doctor services|influence mechanism|grounded theory|qualitative research Medicine R In Zhongguo quanke yixue Chinese General Practice Publishing House Co., Ltd, 2024 26(2023), 10, Seite 1192-1197 (DE-627)DOAJ090664779 10079572 nnns volume:26 year:2023 number:10 pages:1192-1197 https://doi.org/10.12114/j.issn.1007-9572.2022.0719 kostenfrei https://doaj.org/article/72bc53376220417c84a9ab4800b73e06 kostenfrei https://www.chinagp.net/fileup/1007-9572/PDF/zx20220719.pdf kostenfrei https://doaj.org/toc/1007-9572 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 26 2023 10 1192-1197 |
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10.12114/j.issn.1007-9572.2022.0719 doi (DE-627)DOAJ091496888 (DE-599)DOAJ72bc53376220417c84a9ab4800b73e06 DE-627 ger DE-627 rakwb chi MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei verfasserin aut Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. contracted family doctor services|influence mechanism|grounded theory|qualitative research Medicine R In Zhongguo quanke yixue Chinese General Practice Publishing House Co., Ltd, 2024 26(2023), 10, Seite 1192-1197 (DE-627)DOAJ090664779 10079572 nnns volume:26 year:2023 number:10 pages:1192-1197 https://doi.org/10.12114/j.issn.1007-9572.2022.0719 kostenfrei https://doaj.org/article/72bc53376220417c84a9ab4800b73e06 kostenfrei https://www.chinagp.net/fileup/1007-9572/PDF/zx20220719.pdf kostenfrei https://doaj.org/toc/1007-9572 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 26 2023 10 1192-1197 |
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Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. 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Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis |
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Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis |
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MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei |
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Zhongguo quanke yixue |
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2023 |
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MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei |
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26 |
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Elektronische Aufsätze |
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MENG Wenqi, LIU Songyi, JIANG Xiaoli, PENG Haibo, LI Zixin, YU Qianqian, YIN Wenqiang, SUN Kui, CHEN Zhongming, GUO Hongwei |
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10.12114/j.issn.1007-9572.2022.0719 |
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mechanisms affecting the effectiveness of contracted family doctor services: a grounded theory analysis |
| title_auth |
Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis |
| abstract |
Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. |
| abstractGer |
Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. |
| abstract_unstemmed |
Background It is urgent to improve the effectiveness of contracted family doctor services due to high prevalence of problems such as uninformed contracting, and contracting but making no appointments. Objective To analyze the mechanism influencing the effectiveness of contracted family doctor services. Methods From September 2021 to January 2022, in-depth interviews were conducted with 24 family doctors, 8 institutional managers, and 25 contracted residents purposively sampled from Weifang, Heze, and Jinan of Shandong Province, using an interview guide regarding implementation status of relevant policies and their work status, performance distribution and supervision and management, and sense of gain obtained from the contracting and desired services, respectively. The grounded theory using three levels of coding was used to systematically analyze the mechanism affecting the effectiveness of contracted family doctor services. Results Through the coding, 90 concepts (such as "residents' weak health awareness"), 24 categories (such as "awareness of the contracting"), and 8 core categories (such as "capacity in primary care") were obtained. A theoretical model of mechanisms influencing the effectiveness of contracted family doctor services was constructed, mainly including the implementation deviation of policies related to contracted family doctor services, capacity of primary care, and characteristics of residents. Conclusion The effectiveness of contracted family doctor services is affected by the deviation in implementing relevant policies, the capacity of primary health services and characteristics of residents. Therefore, to improve the effectiveness of these services, it is necessary to optimize the implementation path of relevant policies, improve family doctors' capacities, and improve residents' health literacy level. |
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Mechanisms Affecting the Effectiveness of Contracted Family Doctor Services: a Grounded Theory Analysis |
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https://doi.org/10.12114/j.issn.1007-9572.2022.0719 https://doaj.org/article/72bc53376220417c84a9ab4800b73e06 https://www.chinagp.net/fileup/1007-9572/PDF/zx20220719.pdf https://doaj.org/toc/1007-9572 |
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2024-07-03T20:43:08.825Z |
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