[1]王露娇子,左临轩,杨国强,等.贵州少数民族地区农村三级医疗卫生服务网络现状调查[J].国外医学医学地理杂志,2019,(02):113-117.[doi:10.3969/j.issn.1001-8883.2019.02.004]
 WANG Lujiaozi,ZUO Linxuan,YANG Guoqiang,et al.A survey of the medical and health service network at three levelsin the ethnic minority rural areas of Guizhou Province[J].Foreign Medical Sciences (Section of Medgeography),2019,(02):113-117.[doi:10.3969/j.issn.1001-8883.2019.02.004]
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贵州少数民族地区农村三级医疗卫生服务网络现状调查()
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国外医学医学地理杂志[ISSN:1001-8883/CN:61-1102/R]

卷:
期数:
2019年02期
页码:
113-117
栏目:
丝路医学
出版日期:
2019-07-02

文章信息/Info

Title:
A survey of the medical and health service network at three levelsin the ethnic minority rural areas of Guizhou Province
作者:
王露娇子1左临轩2杨国强3李 青3丁岭杰4赵 亮5
(1.贵州医科大学医学人文学院,贵州新安 550025; 2.贵州医科大学教学质量监控与评估办公室,贵州新安 550025; 3.贵州医科大学附属医院,贵州贵阳 550004; 4.中共贵州省委党校,贵州贵阳550025; 5.地方病与少数民族疾病(贵州医科大学)教育部重点实验室,贵州贵阳 550004)
Author(s):
WANG Lujiaozi1ZUO Linxuan2YANG Guoqiang3LI Qing3DING Lingjie4ZHAO Liang5
(1.College of Medical Humanities in Guizhou Medical University,Guian New Area 550025; 2.Office of Teaching Quality Control in Guizhou Medical University,Guian New Area 550025; 3.Affiliated Hospital of Guizhou Medical University,Guiyang 550004; 4.Party School of Guizhou Provincial Committee of CPC,Guiyang 550025; 5.Key Lab of Endemic and Ethnic Diseases(Guizhou Medical University)of Ministry of Education,Guiyang 550004,China)
关键词:
少数民族地区 三级医疗网络 公众参与
Keywords:
ethnic minority areas medical network at three levels public participation
分类号:
R197
DOI:
10.3969/j.issn.1001-8883.2019.02.004
文献标志码:
A
摘要:
目的 了解贵州少数民族地区农村三级医疗卫生服务网络的基本情况及当地居民对农村三级医疗网络的参与程度。方法 选择贵州省部分少数民族地区所在县、乡、村医疗单位进行相关调查,并对所在地区部分人群进行问卷调查和访谈,对所收集数据进行统计分析。结果 所调查的少数民族地区近三年来县、乡级医院总人数、高级医务人员所占的比例及执业医师人数明显增多。少数民族地区受调查人群中仅少数人对农村三级医疗网络有一定的认识,明显少于发达地区人数。少数民族地区受访人群患病时多数到乡、村级医疗单位看病,部分人群在患病时用草药等乡土办法自己处理,转到外地看病的人数及生病就医次数较发达地区明显偏低; 所调查的少数民族地区人群对承担医疗费用的困难较大,觉得看病难的人群较多; 但对医疗服务质量的满意度要高于发达地区。结论 所调查的少数民族地区县、乡级医院近三年来规模和医疗人员水平提升很快,对支撑当地农村三级医疗卫生服务网络起到重要作用,但与发达地区相比差距仍然很大; 少数民族地区人群对农村三级医疗卫生服务网络的认知度和参与度较低,就医状况不理想,承担医疗费用能力较低,享受良好医疗资源情况较发达地区明显不足。
Abstract:
Objective To understand the basic situation of the medical and health service network at three levels in the ethnic minority rural areas and the participation of the local residents in the network.Methods The hospitals or clinic in counties,townships and villages of the ethnic minority areas in Guizhou Province were selected for the relevant investigation,and parts of the population in the areas were interviewed and the collected data statistically analyzed.Results In the ethnic minority areas surveyed during the past three years,the total numbers of entire staff of county and township hospitals,the proportions of senior medical staff and the qualified practicing doctors were significantly increased.A small number of people in ethnic minority areas had some knowledge of the network of medical and health,which is obviously less than the number in developed areas.The most of the residents in ethnic minority areas went to medical institutions of township and village for medical treatments when they fell ill; some of them used herbs and other local methods to deal with the diseases by themselves; and the frequencies of going to other better areas to see doctors due to sick were obviously low.The people in the minority areas surveyed were more difficult to bear the medical expenses than those in the developed areas.However,the satisfaction of them to the quality of medical service was higher than that in developed regions.Conclusion The size and medical personnel level of the county and township hospitals in the ethnic minority areas investigated had rapidly developed in the past three years,which plays an important role in supporting the network of medical service at three levels in the areas.However,as compared with the developed areas,the gap is still large; people in ethnic minority areas had low awareness and participation in the network.The condition of seeking medical treatments was not ideal,and the ability to bear medical expenses was low.The enjoy of good medical resources after the reform and opening-up was less than that of the developed areas.

参考文献/References:


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备注/Memo

备注/Memo:
收稿日期:2018-12-06 修回日期:2019-02-23
基金项目:贵州省教育厅高等学校人文社会科学研究基地项目(2017jd077); 贵州省理论创新课题(GZLCLH-2018-037)
作者简介:王露娇子(1990-),女(满族),硕士,讲师.研究方向:医学社会学.
更新日期/Last Update: 2019-07-02