Against the backdrop of an aging population and an increasing disease burden, the traditional medical service model is no longer suitable for current health needs. The integration of medical care and disease prevention has emerged as a new service model. Currently, the integration model is in the exploratory stage, with relatively few studies focusing on patient experience.

This study aims to analyze the implementation effect of the medical and preventive care integration from the perspective of demand and put forward countermeasures and suggestions.

Based on the March 2023 Beijing Medical-Prevention Integration Survey data, this study employed a policy-guided approach combined with multi-stage sampling to collect 328 valid questionnaires from residents visiting four tertiary and two primary healthcare institutions. Using a self-designed questionnaire developed by the research team, we evaluated seven dimensions of the Donabedian model: accessibility, process (including procedures, convenience, and attitudes), and outcome (including quality, education, and relationships). The effectiveness was comprehensively evaluated using entropy weighting and fuzzy comprehensive evaluation methods, followed by group heterogeneity analysis.

The improvement score of residents' medical experience after the integration of medical and preventive system is 80.07, which belongs to the dimension of enhancement. The heterogeneity analysis results show that the evaluation score of females (83.141) is higher than that of males (76.985), and the score of patients with hypertension (80.818) is higher than that of non-patients (79.785). The score of patients with diabetes (73.606) is significantly lower than that of non-patients (81.212). The evaluation of residents who have signed up with a family doctor (88.163) is markedly higher than those who have not (72.811). Residents who regularly choose primary health care institutions (86.317) have a higher evaluation than those who choose secondary general hospitals (72.502).

The integration of medical and preventive system has achieved results, but there is still a need to optimize the medical consultation process; the management outcomes of the integration for hypertensive patients are relatively good, but the experience of diabetes patients with the integration needs to be improved; primary medical care and family doctor services have played a positive role, but the construction of the integration in comprehensive hospitals at or above the secondary level still needs to be strengthened. It is recommended to further strengthen information technology construction, optimize the medical consultation process to enhance the efficiency of medical and preventive integration, reinforce the management of diabetes patients within the integration, pay attention to the construction of the integration in comprehensive hospitals at or above the secondary level, and enhance the sense of health gain and satisfaction among residents.

在老龄化和疾病负担加剧的背景下，传统医疗服务模式不再适应当前健康需求，医防融合成为新服务模式，但目前医防融合模式尚处于探索阶段，集中于患者体验的研究较少。

本研究从需方视角分析医防融合实施的效果，并提出对策建议。

基于2023年3月北京市医防融合调查数据，采用政策导向与多阶段抽样相结合的方法，从4家三级和2家基层医疗卫生机构就诊居民中获取328份有效问卷。使用课题组自制问卷，基于Donabedian模型评估结构（医疗可及性）、过程（就诊流程、便捷性、服务态度）、结果（医疗水平、健康宣教、医患关系）7个维度的医防融合实施效果评价。运用熵权法和模糊综合评价法综合评价效果，并进行群体异质性分析。

实施医防融合后，居民就医体验改善效果得分为80.07分，隶属于"提升"维度。异质性评价分析结果显示，女性评分（83.141分）高于男性（76.985分）；高血压患者评分（80.818分）高于未患者（79.785分），但糖尿病患者评分（73.606分）远低于未患者（81.212分）；签约家庭医生居民评分（88.163分）高于未签约者（72.811分）；常就诊于基层医疗卫生机构的居民评分（86.317分）高于常就诊于二/三级综合医院者（72.502分）。

医防融合已取得一定成效，但仍需优化就诊流程。对高血压患者的医防融合管理工作开展良好，但糖尿病患者的医防融合体验有待提升。基层卫生和家庭医生签约服务发挥了积极作用，但二/三级综合医院的医防融合建设工作有待加强。建议进一步加强信息化建设、优化就诊流程，以提升医防融合效率；建议强化糖尿病患者的医防融合管理，重视二/三级综合医院医防融合工作开展，以增强居民的健康获得感和满意度。