村卫生室医疗卫生服务问题的心理学因素分析及对策研究  

Psychological Factors for Problems of Medical Services in Village Clinics and the Counter Measures

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,首都卫生管理与政策研究基地,北京市100069 [2]首都医科大学

出　　处：《中国全科医学》2011年第8期886-889,共4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：目的分析当前农村卫生室医疗卫生服务中的问题并提出心理学对策。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,共观察7个卫生室并访谈了42位村医,以及当地村民106名。结果当前医疗服务的治疗内容以及治疗效果同村民的预期之间存在差异。相对固定的村医补助无法起到激励村医积极主动工作的作用。外界环境使村医的职业安全感降低,并导致其职业归属感的弱化。对于村民的健康管理现状以及疾病预防中存在着消极心理因素。农村医疗服务对象疾病谱的变化引发对于医疗服务的多样化需求。结论应通过卫生部门培训内容的深入完善,辅助提高村医多样化的治疗手段和技能。对于社会经济因素影响下的农村弱势群体,应给予适当的心理关注。可通过制度的完善建立适宜的村医职业氛围,提高村医的职业安全感。Objective To investigate the current problems of medical services in village clinics so as to propose psychological counter-measures. Methods From July to August 2009,and December 10 to 15,2009,the field observation and personal in-depth interview were conducted in the suburbs of Beijing,a total of 42 village doctors of 7 village clinics and 106 villagers were interviewed. Results There was distance between the villagers′ expectations and medical service items and therapeutic effects.The relatively fixed subsidy for village doctor failed to impulse them to work actively.The external environments made their sense of professional safety reduced,and their sense of professional belongingness weakened.The doctors had negatively psychological factors to the current situation of health management and the prevention of diseases.And the changes in disease spectrum of the service objects in rural areas caused multiple needs for medical services. Conclusion The village doctors should raise their multiplied therapeutic means and skills by further improved training contents provided by health departments of the government.Appropriate psychological attention should be given to the rural disadvantaged group influenced under the poor economic conditions.An appropriate atmosphere for village doctors may be improved through system establishment so as to raise the safe professional sense of village doctors.

关 键 词：村卫生室 医疗卫生服务 心理因素 对策 

分 类 号：R197[医药卫生—卫生事业管理]