摘要
农村居民就医行为的主观性和国家政策层面的设计目的是不完全协调统一的。因此,农村居民自身的就医行为对农村基层医疗服务体系的发展和完善有积极或消极的影响。山西省洪洞县东张村是洪洞县首批社会主义新农村推进村,其发展在洪洞县具有典型的代表性。文章运用社会科学研究方法"质性研究"中的深度访谈,对目标村30名农民、7名基层卫生服务提供者和部分卫生管理人员进行访谈。调查发现,影响该村居民就医行为的主要因素不是医疗服务室的基础设施建设及所处的地理位置,而是医疗服务提供者的医疗技术水平。尽管政府不断推进农村医疗改革,但基层医疗服务提供者的医疗水平并没有大幅提升,农村缺乏优秀的医疗人才已成为影响农村居民就医行为的主要因素。文章所做的研究旨在为进一步推进农村医疗改革提供一定参考。
It is not completely coordinated and unified between the subjectivity of medical care conduct of rural residents and the superficial design purpose of national policy,therefore,medical care conduct of themselves has a positive or negative influence on the development of rural medical service system of primary level. Dong Zhang Village,Hongtong county,Shanxi Province is the village advancement of being the first socialist new countryside of Hongtong,and its development in Hongtong is typical representative. This article interviewed 30 farmers in target village,7 providers in grassroots health service as well as partial staffs in health management,with social science research method ＂ qualitative research＂ in the form of depth interviews. The investigation revealed that the main factors of medical care conduct of rural residents were not the medical service infrastructure and its geographical location,but the medical technology level that the medical service providers could provide.In recent years,although the government had promoted the reform of rural health continually,the medical treatment level of the medical service providers in grassroots wasn＇t improved sharply,and the lack of rural medical talents had become the main factors that influence medical care conduct of rural residents. The aim of this paper is to provide some references in order to further promote the reform of rural health.
出处
《中国公共卫生管理》
2017年第4期452-455,共4页
Chinese Journal of Public Health Management
基金
辽宁省社科规划基金项目(L15BGL031)
关键词
医疗服务
农村居民
就医行为
医疗政策
medical services
rural residents
medical care conduct
health policy
