Application of GIS-based Information Service Platform for Family Doctors

Background With the development of society and the aging of the population, the demand for community medical services is increasing. As an important part of community medical service, the informationization level and information service ability of family doctors are of great significance to improve the quality and efficiency of community medical service. Objective To investigate the effect of the WeChat applet "Intelligent geographic information system (GIS) Family Doctor Information Platform" based on GIS in the application of family doctor contracting service. Methods from March to April 2023, among 27 family doctor teams in Zhujing Town, Jinshan District, Shanghai, 185 residents served by two neighbourhood family doctor teams and two rural family doctor teams were selected as the control group using stratified random sampling method, and 186 residents served by the same two neighbourhood family doctor teams and two rural family doctor teams were selected as the intervention group; the control group adopted the existing family doctor contracting management mode, and the intervention group adopted the existing family doctor contracting management mode. The control group adopts the existing family doctor contracting management model, while the intervention group develops a contracting service management model based on the "Intelligent GIS Family Doctor Information Platform" WeChat app on the basis of the existing management model. A retrospective data collection method was used to compare the family doctor contracting service before and after the use of the "Smart GIS Family Doctor Information Platform" WeChat app in the intervention group, as well as the knowledge, belief and behaviour of the residents in the control group and the intervention group, in order to analyse the "Smart GIS Family Doctor Information Platform" WeChat app to analyse the application effect of "Intelligent GIS Family Doctor Information Platform". Results The municipal contracting service assessment score of the intervention group was higher after using the "Smart GIS Family Doctor Information Platform" WeChat app (87.76±4.60) than before (63.65±4.53) (P<0.05) ; the score of the control group was higher than that of the intervention group after using the "Smart GIS Family Doctor Information Platform" WeChat app (63.65±4.53) (P<0.05) ; the score of the intervention group was higher than that of the control group after using the "Smart GIS Family Doctor Information Platform" WeChat app. The signing rate, community visit rate, family doctor visit rate, and the physical examination rate for signed individuals aged 65 and above for the control group are 41.70%, 26.67%, 3.30% and 71.43%, respectively. The contracting rate, community consultation rate, family doctor consultation rate, and contracted medical examination rate of people over 65 years old in the intervention group were 44.48%, 28.89%, 6.15%, and 74.02% respectively, and all the indicators of the intervention group were higher than those of the intervention group before the use of the WeChat applet of the "Intelligent GIS Family Physician Information Platform" (P<0.05). In the control group, the scores of knowledge, attitude and behaviour of family doctor contracting service were (8.14±1.46) (22.47±2.78) and (4.57±1.35), while in the intervention group, the scores of knowledge, attitude and behaviour of family doctor contracting service were (8.77±1.28) (23.54±1.98) and (4.97±1.17), respectively. The intervention group's scores on knowledge, attitude and behaviour of family doctor contracting service were higher than those of the control group (P<0.05) . Conclusion The application of "Intelligent GIS Family Doctor Information Platform" can improve the quality of the work of family doctor contracting service and enhance the residents'adherence to family doctor contracting service.