目的:了解安徽省某市农村地区签约居民的基本情况、对签约服务的了解程度、满意度及其续约意愿,分析影响农村地区签约居民续约意愿的因素。方法:采用多阶段分层随机抽样选取安徽省某市的四县一区为调查地区,采用自行设计的调查问卷进行调查。结果:在调查的494例居民中,居民对签约服务的了解程度为62.9 %,对签约服务总体情况的满意度为89.7 %,签约居民有续约意愿为90.30 %。分析结果显示,影响该地区居民续约意愿的主要因素包括:居民出现健康问题时首选的医疗机构、居民对签约服务总体情况的满意度、家庭医生诊疗能力的满意度以及家庭医生总体效果。结论:该市农村地区签约服务的满意度和签约居民的续约意愿较高,但对签约服务的了解程度不高,仍需进一步提升。

Objective: To understand the basic situation, the degree of understanding of contracted services, satisfaction and renewal intention of contracted residents in rural areas of a city in Anhui Province, and to analyze the factors affecting the renewal intention of contracted residents in rural areas. Methods: A multi-stage stratified random sampling method was used to select four counties and one district of a city in Anhui S as the survey area, and a self-designed questionnaire was used for investigation. Results: Among the 494 residents surveyed, the residents' understanding of the contracted service was 62.9 %, the satisfaction with the overall situation of the contracted service was 89.7 %, and the willingness of the contracted residents to renew the contract was 90.30 %. The results showed that the main factors affecting the willingness of residents to renew their contracts in the region included: the preferred medical institution when residents had health problems, residents' satisfaction with the overall situation of contracted services, the satisfaction of family doctors' diagnosis and treatment ability, and the overall effect of family doctors. Conclusion: The satisfaction of contracted services in rural areas of the city and the willingness of contracted residents to renew contracts are high, but the understanding of contracted services is not high, which still needs to be further improved.