乡村医生的医疗卫生服务行为现状及心理因素分析  

Status of Medical Service Behavior and Psychological Factors of Village Doctors

作　　者：于丽玲[1] 吕兆丰[2] 王晓燕[1] 彭迎春[1] 彭炜[1] 宋晓霞[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,首都卫生管理与歧策研究基地,北京市100069 [2]首都医科大学

出　　处：《中国全科医学》2011年第8期881-883,共3页Chinese General Practice

基　　金：北京市属高等学校人才强教计划“创新人才建设计划”项目(PHR200906118);北京市教育委员会人文社会科学研究计划重点项目(SZ200910025006)

摘　　要：目的了解当前农村乡村医生的医疗卫生服务行为的现状及其心理影响因素。方法 2009年7—8月,以及2009-12-10—15在京郊农村实施了实地观察和个人深入访谈,共访谈了42位村医。结果村医的自我评价良好,对自身的职业素质持有客观的期望。特殊的情感距离因素形成有效于沟通治疗的医患模式。特殊的情感支持因素是建立和谐乡村医患关系的基础。医患之间在对于村医职业的主观认知上存在差异。结论村医在长期的生活环境和工作环境相重合的过程中建立了他们对于职业的荣誉感和自豪感。Objective To understand the current status of medical services provided by village doctors and analyze the influencing factors psychologically. Methods From July to August 2009,and form December 10 to 15,2009,a total of 42 village doctors were personally interviewed and field observations were conducted in the suburbs of Beijing. Results The doctors generally had good evaluation of themselves,and an objective expectation on their own professional qualities.The development of specific emotional distance was beneficial to the communication between patents and doctors in treatment,and special support factor in emotion is a basis to establish a harmonious relationship between patients and doctor.There existed a difference in subjective recognition of village doctor profession between patients and doctors. Conclusion The village doctors have developed their professional senses of honor and pride through a long-term practice in life and work.

关 键 词：乡村医生 村卫生室 医疗卫生服务 心理因素 

分 类 号：R197[医药卫生—卫生事业管理]