Objectives： This study aimed to investigate the influences of implementation of department global budget (DGB) demonstration on primary care physicians’ practice and the satisfaction with DGB. In addition, this study explored the willingness of primary care physicians (PCPs) for DGB implementation and the associated factors.
Method ：This study adopted the survey method of a self-designed structured questionnaire. All the PCPs who were undertaking national health insurance at western medicine clinics were selected with a total of 2673 physicians on May 1, 2007. 579 valid responses were received with a response rate of 21.66%.
Result：55% PCPs thought the way of partitioning departments was unreasonable. 54.63% PCPs thought the DGB had a harmful effect on department development. 38.52% PCPs were dissatisfied about DGB while 20.67% were satisfied and 40.81% were unremarkable.The satisfaction was lower at big city probably due to higher competition. 57.99% PCPs disagreed with DGB. The PCPs in urology, surgery, orthopedics, ENT, obstetrics and gynecology had higher agreement on continuing DGB implementation, but PCPs in psychiatry, dermatology and family medicine inclined to disagree.The factors that affect the agreement of DGB included the competition after DGB, the work time alteration after DGB, years of practice, rationality of the way of partitioning departments, the anticipated effect on department development and the variety of departments through logistic regression analysis.
Conclusion：The satisfaction of DGB demonstration was relatively low. The DGB is disadvantageous to PCPs at big city. The majority of PCPs disagreed with DGB implementation.
