CAJ | 학술논문

[目的]了解农村卫生适宜技术在太原市的推广利用效果、服务对象对适宜技术的满意度情况和卫生技术人员对适宜技术推广利用的综合评价,为太原市和同等规模城市组织农村卫生适宜技术的推广提供依据.[方法]采用问卷调查法对接受适宜技术服务的患者和使用技术的卫生技术人员进行调查.[结果](1)调查服务对象对适宜技术服务的总体满意度为76.8%,多因素分析发现患者对收费的满意度、医生技术的熟练程度、医生对病情的解释、患者对治疗效果的满意度、是否有副作用是影响服务对象满意度的主要因素.(2)卫生技术人员对适宜技术的推广利用(主要从社会效益方面)评价较高(达到97.7%),卫生适宜技术的培训率对治愈率的提高和个人技术水平提高有明显的作用.[结论]太原市农村卫生适宜技术推广利用的效果较好,综合满意度高,值得进一步推广,但要注意强化技术培训,合理配置医疗资源,进一步降低成本,进而降低患者的就诊费用.建议完善卫生适宜技术推广的激励机制,增加卫生技术人员的收入,提高基层卫生技术人员技术推广的积极性.
[목적]료해농촌위생괄의기술재태원시적추엄이용효과、복무대상대괄의기술적만의도정황화위생기술인원대괄의기술추엄이용적종합평개,위태원시화동등규모성시조직농촌위생괄의기술적추엄제공의거.[방법]채용문권조사법대접수괄의기술복무적환자화사용기술적위생기술인원진행조사.[결과](1)조사복무대상대괄의기술복무적총체만의도위76.8%,다인소분석발현환자대수비적만의도、의생기술적숙련정도、의생대병정적해석、환자대치료효과적만의도、시부유부작용시영향복무대상만의도적주요인소.(2)위생기술인원대괄의기술적추엄이용(주요종사회효익방면)평개교고(체도97.7%),위생괄의기술적배훈솔대치유솔적제고화개인기술수평제고유명현적작용.[결론]태원시농촌위생괄의기술추엄이용적효과교호,종합만의도고,치득진일보추엄,단요주의강화기술배훈,합리배치의료자원,진일보강저성본,진이강저환자적취진비용.건의완선위생괄의기술추엄적격려궤제,증가위생기술인원적수입,제고기층위생기술인원기술추엄적적겁성.
@@@@Objective To know the effect of appropriate techniques promotion and application, the satisfaction of service objects to appropriate techniques, and the overall merit of health workers, so as to provide the basis for promoting appropriate techniques in rural areas in Taiyuan and other its size cities. Methods Investigated the patients and the health workers who accepted appropriate techniques by questionnaire survey. Results (1) The satisfaction degree to appropriate techniques was 76.8%of services objects. Multiple-factor analysis found that the major factors were medical charge, doctors’ techniques, doctors explained the illness, patients to therapeutic effect and whether the drug side-effect. (2) The evaluation degree was 97.7%of health workers. It had obviously function that health appropriate techniques training rate could improve cure rate and individual skills. Conclusions It was worth further promoting of health appropriate techniques in rural areas in Yaiyuan, but it needs to strengthen technique training, reasonable allocate medical resources, reduce the patients’ cost. It suggests that to perfect the incentive mechanism of health appropriate techniques promotion, increase the income of health workers and improve enthusiasm of techniques promotion in basic health workers.