基于优劣尺度法的家庭医生签约服务供给激励偏好研究OA

Objective To investigate and analyze the incentive preferences of family doctor teams,and provide a scientific ba-sis for optimizing the incentive mechanism for service provision and enhancing the level of primary-level medical services.Meth-ods From July to August 2025,a questionnaire survey was conducted among members of family doctor teams from 10 community health service centers in four districts of Nanjing,Jiangsu Province.The Balanced Incomplete Block Design(BIBD)method was employed to design the questionnaire,which was used to collect the respondents'preference choices regarding 11 incentive factors.A Conditional Logit model was used to analyze the overall preference of family doctor team members for incentive factors,while K-means clustering was applied to conduct heterogeneity analysis of their incentive preferences.Results The primary incentive fac-tors for the provision of contracted family doctor services were residents'demand level(OR=8.22),members'salary and benefits(OR=6.95),residents'trust level(OR=6.72),and residents'compliance(OR=6.26).The heterogeneity analysis of prefer-ences revealed that two types of family doctor team members exhibited significant preference heterogeneity in terms of residents'de-mand level,residents'compliance,residents'trust level,members'salary and benefits,members'performance assessment,and government resource investment,with the greatest difference in preference for residents'demand level.Conclusion To optimize the incentive mechanism for contracted family doctor service provision,attentions should be focused on factors such as residents'de-mand level,residents'trust level,and members'salary and benefits.Additionally,designing diverse and combined incentive meas-ures can stimulate the motivation of family doctors in service provision.