Contract Rate of General Practitioners and Its Influencing Factors：Awareness Investigation with 951 Guangdong Residents in China

General practitioner (GP) systems were proved to be effective in over 50 countries worldwide. Guangdong province, as a reform pilot in China, initiated its patient-GP contract reform in 2014. And the local residents acted less positively than the government expected to. Aimed to assess contract rate of residents and its influencing factors, we conducted a cross-sectional questionnaire survey covering 951 participants from 16 primary health care (PHC) institutions that were randomly chosen from 4 cities in Guangdong in 2015. We collected variables associated with the contract behavior recommended by related studies and ran the logistic regression model to test their influences. Results showed 57.83% of participants contracted with a GP within one year post-reform. Influencing factors were age, education level, self-reported health status, chronic diseases, acquaintance to GP and satisfaction of PHC institutions. Measures should be taken to increase residents’ awareness of GP and providing high-quality primary care.