海南省农村地区卫生服务提供与利用影响因素的定性研究

目的:了解影响海南省农村地区卫生服务提供和利用的影响因素,为卫生部门改革农村卫生服务提供依据。方法:按地理位置在海南省抽取5个市县,每个城市随机抽取5～9名医疗卫生服务机构的业务骨干进行影响农村卫生提供与利用的影响因素的选题小组讨论。对选题小组讨论结果进行整理,将所有项目按照重要性进行排序。结果:影响海南省农村地区卫生服务提供与利用的因素主要体现在医疗资源分配、医疗体制、农村地区自身存在的问题、社会支持、地域文化因素等方面。结论:影响农村卫生服务需求、提供和利用的因素涉及范围较广,要改善农村卫生服务,必须要深化体制改革、增加资金投入、加强医疗队伍建设、提高农民的文化素质和经济收入、改善医患关系。

Qualitative study on impact factors of health service provision and utilization in rural area in Hainan province

Objective:To understand the impact factors of health service provision and utilization in rural area in Hainan province,so to provide evidences for promoting health services in rural areas.Methods:Five cities were selected by geographical location in Hainan province.In each selected city,5-9 medical staffs were randomly recruited to hold group discussion.The key issue was "what are the impact factors of health service provision and utilization in rural area".Results:The main impact factors of health service provision and utilization in rural area were the distribution of the medical resources,the medical system,the living condition and the education level of the rural residents,social supports,and the culture and so on.Conclusion:There are so many factors that effect the provision and utilization of health service in rural area.The health service condition in rural areas will not improve unless deepening the system reform,increasing fiancé investment,improving the education level and the incoming of the farmers,and improve doctor-patient relationship.