Facilitate Signing with the Family Doctor: A Study of the Practice in Shanghai, China

Figures & data

Figure 1 Policies of family doctor contract services in China between 2009 and 2019.

Abbreviations: CCCPC, Central Committee of the Communist Party of China; SC, State Council; NHCPRC: National Health Commission of the People’s Republic of China; SMHC, Shanghai Municipal Health Commission.

Table 1 The Populations of Each District in Shanghai (2017–2020)

	Districts	2017 (N)				2018 (N)				2019 (N)				2020 (N)
		Permanent Residents (N)	Key Population (N)	Population >65 Years (N)	GP (N)	Permanent Residents (N)	Key Population (N)	Population> 65 Years (N)	GP(N)	Permanent Residents (N)	Key Population (N)	Population> 65 Years (N)	GP(N)	Permanent Residents (N)	Key Population (N)	Population> 65 Years (N)	GP(N)
Urban	Huangpu	578,750	/	/	/	653,363	306,043	196,390	/	643,203	312,555	205,291	216	644,736	304,495	233,427	300
	Xuhui	1,082,844	/	/	/	1,046,693	343,873	204,606	/	1,080,509	365,100	216,856	287	1,097,249	335,193	237,004	532
	Changning	682,708	/	/	/	691,745	237,103	140,844	/	690,363	246,067	147,516	213	666,388	229,713	164,043	305
	Jingan	895,522	/	/	/	830,353	369,930	229,226	/	998,008	386,477	239,981	356	931,196	388,067	272,210	427
	Hongkou	742,142	/	/	/	694,379	282,132	182,846	/	766,621	282,990	184,708	221	773,828	270,661	207,167	316
	Putuo	1,204,434	/	/	/	1,227,245	346,233	199,461	/	1,212,478	366,619	212,940	341	1,212,478	349,121	245,312	383
	Yangpu	1,244,071	/	/	/	1,244,071	415,622	252,566	/	1,295,754	442,094	269,755	370	1,295,754	419,912	306,697	441
	Total for the urban districts	6,430,471	/	/	/	6,387,849	2,300,936	1,405,939	/	6,686,936	2,401,902	1,477,047	2004	6,621,629	2,297,162	1,665,860	2704
Outskirts	Pudong	4,998,280	/	/	/	4,952,726	1,246,223	551,986	/	4,966,292	1,378,329	606,705	1690	5,040,802	1,152,860	628,524	1933
	Jiading	1,446,729	/	/	/	1,377,605	324,597	135,325	/	1,505,928	374,933	148,646	350	1,454,046	276,469	147,324	670
	Minhang	2,330,080	/	/	/	2,469,721	478,871	202,350	/	2,420,674	552,838	226,845	613	2,439,551	416,552	227,258	919
	Baoshan	1,930,603	/	/	/	1,874,838	417,606	189,195	/	1,858,873	467,022	209,192	414	1,883,133	371,598	219,124	574
	Total for the outskirts districts	10,705,692	/	/	/	10,674,890	2,467,297	1,078,856	/	10,751,767	2,773,122	1,191,388	3067	10,817,532	2,217,479	1,222,230	4096
Suburbs	Jinshan	681,234	/	/	/	777,192	233,860	110,714	/	814,699	249,382	117,647	234	804,803	217,693	128,284	321
	Fengxian	1,092,877	/	/	/	1,066,810	245,361	103,390	/	1,023,353	265,958	111,738	276	1,011,271	217,662	119,057	423
	Songjiang	1,387,684	/	/	/	1,401,454	322,843	119,945	/	1,416,691	371,615	137,054	352	1,504,948	268,559	128,045	529
	Qingpu	1,131,450	/	/	/	1,036,161	229,573	91,450	/	1,075,740	253,596	102,626	287	1,071,012	198,736	104,429	399
	Chongming	694,917	/	/	/	696,836	272,586	152,769	/	630,172	274,769	155,963	218	635,894	271,261	177,086	310
	Total for the suburban districts	4,988,162	/	/	/	4,978,453	1,304,223	578,268	/	4,960,655	1,415,320	625,028	1367	5,027,928	1,173,911	656,901	1982
	Total	22,124,325	/	/	/	22,041,192	6,072,456	3,063,063	/	22,399,358	6,590,344	3,293,463	8128	22,467,089	5,688,552	3,544,991	8782

Note: /Indicates that these data could not be obtained from the data platform.

Table 2 The Proportions of Different Populations Who Signed a Contract in Each District in Shanghai (2017–2020)

	Districts	Signing Proportion Among Permanent Residents (%)					Signing Proportion Among the Key Population (%)					Signing Proportion Among People > 65 Years (%)
		2017	2018	2019	2020	Average	2017	2018	2019	2020	Average	2017	2018	2019	2020	Average
Urban	Huangpu	17.01	30.11	32.98	32.34	28.11	/	35.66	38.05	43.61	39.11	/	40.22	43.53	46.17	44.85
	Xuhui	20.95	30.82	34.19	34.3	30.07	/	56.53	54.79	68.08	59.80	/	66.72	64.88	72.49	68.69
	Changning	7.53	27.10	41.17	46.63	30.61	/	28.44	41.77	70.33	46.85	/	34.10	51.94	72.26	62.10
	Jingan	26.22	41.62	34.77	37.85	35.12	/	54.67	54.95	58.55	56.06	/	53.18	56.45	59.95	58.20
	Hongkou	24.30	36.76	33.56	33.14	31.94	/	54.57	55.03	61.93	57.18	/	57.72	58.85	63.93	61.39
	Putuo	20.16	33.50	37.55	36.69	31.98	/	57.87	61.74	72.21	63.94	/	67.19	70.12	75.25	72.69
	Yangpu	24.23	27.63	30.77	31.58	28.55	/	49.23	47.00	58.34	51.52	/	58.46	55.54	62.66	59.10
	Average for the urban districts	20.06	32.51	35.00	36.08	30.91		48.14	50.48	61.86	53.49		53.94	57.33	64.67	61.00
Outskirts	Pudong	7.41	32.48	36.11	37.30	28.33	/	59.15	63.28	85.76	69.40	/	80.15	81.86	98.86	90.36
	Jiading	14.40	23.18	31.39	33.48	25.61	/	56.09	52.92	85.97	64.99	/	85.33	83.08	100.00	91.54
	Minhang	11.69	30.65	33.29	34.03	27.42	/	53.80	63.05	91.88	69.58	/	79.13	88.92	100.00	94.46
	Baoshan	16.42	32.36	33.64	40.14	30.64	/	69.49	69.12	102.42	80.34	/	93.64	92.37	100.00	96.19
	Average for the outskirts districts	12.48	29.67	33.61	36.24	28.00		59.63	62.09	91.51	71.08		84.56	86.56	99.72	93.14
Suburbs	Jinshan	30.61	31.88	34.31	41.49	34.57	/	60.41	58.23	82.47	67.04	/	78.66	76.10	92.59	84.35
	Fengxian	17.59	29.01	31.17	33.11	27.72	/	57.56	58.06	80.32	65.31	/	85.18	86.05	100.00	93.03
	Songjiang	15.02	23.23	31.27	31.18	25.18	/	50.05	47.83	81.64	59.84	/	78.08	75.40	100.00	87.70
	Qingpu	10.01	17.57	22.46	31.78	20.46	/	41.57	43.21	83.41	56.06	/	71.85	72.62	100.00	86.31
	Chongming	29.26	35.04	40.25	42.98	36.88	/	65.46	64.97	77.44	69.29	/	80.97	81.51	88.35	84.93
	Average for the suburban districts	17.97	26.21	31.29	34.76	27.56		53.66	53.52	80.70	62.63		79.02	78.90	97.09	87.99
	Total	15.50	30.23	33.74	37.98	29.36	/	54.63	56.62	76.53	62.59	/	69.41	71.53	84.67	78.10

Note: /Indicates that these data could not be obtained from the data platform.

Table 3 The Proportions of Residents Seeking Medical Advice from Multiple Institutions and in the Contracted Community Health Centres of Each District in Shanghai (2017–2020)

	Districts	Seeking Medical Advice from Multiple Institutions (%)					Seeking Medical Advice from the Contracted Community Health Centres (%)
		2017	2018	2019	2020	Average	2017	2018	2019	2020	Average
Urban	Huangpu	17.01	30.11	32.98	32.34	28.11	/	35.66	38.05	43.61	39.11
	Xuhui	20.95	30.82	34.19	34.30	30.07	/	56.53	54.79	68.08	59.80
	Changning	7.53	27.10	41.17	46.63	30.61	/	28.44	41.77	70.33	46.85
	Jingan	26.22	41.62	34.77	37.85	35.12	/	54.67	54.95	58.55	56.06
	Hongkou	24.30	36.76	33.56	33.14	31.94	/	54.57	55.03	61.93	57.18
	Putuo	20.16	33.50	37.55	36.69	31.98	/	57.87	61.74	72.21	63.94
	Yangpu	24.23	27.63	30.77	31.58	28.55	/	49.23	47.00	58.34	51.52
	Average for the urban districts	20.06	32.51	35.00	36.08	30.91		48.14	50.48	61.86	53.49
Outskirts	Pudong	7.41	32.48	36.11	37.30	28.33	/	59.15	63.28	85.76	69.40
	Jiading	14.40	23.18	31.39	33.48	25.61	/	56.09	52.92	85.97	64.99
	Minhang	11.69	30.65	33.29	34.03	27.42	/	53.80	63.05	91.88	69.58
	Baoshan	16.42	32.36	33.64	40.14	30.64	/	69.49	69.12	102.42	80.34
	Average for the outskirts districts	12.48	29.67	33.61	36.24	28.00		59.63	62.09	91.51	71.08
Suburbs	Jinshan	30.61	31.88	34.31	41.49	34.57	/	60.41	58.23	82.47	67.04
	Fengxian	17.59	29.01	31.17	33.11	27.72	/	57.56	58.06	80.32	65.31
	Songjiang	15.02	23.23	31.27	31.18	25.18	/	50.05	47.83	81.64	59.84
	Qingpu	10.01	17.57	22.46	31.78	20.46	/	41.57	43.21	83.41	56.06
	Chongming	29.26	35.04	40.25	42.98	36.88	/	65.46	64.97	77.44	69.29
	Average for the suburban districts	20.50	27.35	31.89	36.11	28.96		55.01	54.46	81.06	63.51
	Total	15.50	30.23	33.74	37.98	29.36	/	54.63	56.62	76.53	62.59

Note: /Indicates that these data could not be obtained from the data platform.