中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
31期
3685-3688
,共4页
董屹%彭迎春%杨佳%刘扬%刘一%马晓%周慧姊%莫陶欣%苗京楠%吕兆丰
董屹%彭迎春%楊佳%劉颺%劉一%馬曉%週慧姊%莫陶訢%苗京楠%呂兆豐
동흘%팽영춘%양가%류양%류일%마효%주혜자%막도흔%묘경남%려조봉
卫生保健提供%医生病人关系%影响因素
衛生保健提供%醫生病人關繫%影響因素
위생보건제공%의생병인관계%영향인소
Delivery of health care%Physician - patient relations%Influencing factors
“让群众能够就近享受优质医疗服务，构建和谐医患关系”是2014年国家医改向纵深发展提出的重要目标。在农村，由于适宜适用人才匮乏和适宜适用技术的缺乏，导致乡村两级医疗卫生服务供给不力，使农村居民距“就近享受优质医疗服务”的目标仍有很大距离。村级卫生人才的老化和乡镇卫生人才的不稳定使适宜适用技术的开展缺乏有效的载体；同时，培训体系的不健全和激励机制的不完善也制约了适宜适用技术进一步提高，这些问题对乡村两级医疗机构医患信任的构建产生了至关重要的影响。为了改变这种现状，既需要乡村两级卫生机构配置适宜适用的人才，也应同时建设起适宜适用的培训体系与考核机制，使医患之间重构信任，进而实现医患关系的和谐。
“讓群衆能夠就近享受優質醫療服務，構建和諧醫患關繫”是2014年國傢醫改嚮縱深髮展提齣的重要目標。在農村，由于適宜適用人纔匱乏和適宜適用技術的缺乏，導緻鄉村兩級醫療衛生服務供給不力，使農村居民距“就近享受優質醫療服務”的目標仍有很大距離。村級衛生人纔的老化和鄉鎮衛生人纔的不穩定使適宜適用技術的開展缺乏有效的載體；同時，培訓體繫的不健全和激勵機製的不完善也製約瞭適宜適用技術進一步提高，這些問題對鄉村兩級醫療機構醫患信任的構建產生瞭至關重要的影響。為瞭改變這種現狀，既需要鄉村兩級衛生機構配置適宜適用的人纔，也應同時建設起適宜適用的培訓體繫與攷覈機製，使醫患之間重構信任，進而實現醫患關繫的和諧。
“양군음능구취근향수우질의료복무，구건화해의환관계”시2014년국가의개향종심발전제출적중요목표。재농촌，유우괄의괄용인재궤핍화괄의괄용기술적결핍，도치향촌량급의료위생복무공급불력，사농촌거민거“취근향수우질의료복무”적목표잉유흔대거리。촌급위생인재적노화화향진위생인재적불은정사괄의괄용기술적개전결핍유효적재체；동시，배훈체계적불건전화격려궤제적불완선야제약료괄의괄용기술진일보제고，저사문제대향촌량급의료궤구의환신임적구건산생료지관중요적영향。위료개변저충현상，기수요향촌량급위생궤구배치괄의괄용적인재，야응동시건설기괄의괄용적배훈체계여고핵궤제，사의환지간중구신임，진이실현의환관계적화해。
" It is imperative that people deserve the high quality of medical services,and it will finally help to build harmonious doctor - patient relationship. " As the sentence stated,it will be the important goal of medical reform in 2014 when the new round of reform had been continued for entire five years. However,due to lack of talent people and supportive skills,the medical and health services had been stretched to the limit,which had negative influence on achieving that goal. Elder rural doc-tor,unstable condition of doctor worked in township hospital and imperfection mechanisms in terms of training system and motiva-tion,all of these elements makes relatively adverse impact on building doctor - patient relationship. For changing these situations, in return,it is not only to collect appropriate people,but also to construct some sort of effective mechanisms for training system and motivation that is beneficial to implementation of high level of medical skills. Finally,all above actions serve one purpose -reshaping the trust between doctor and patient.
