具有可持续发展的农村卫生适宜技术推广模式初探

目的初步探讨具有可持续发展的农村卫生适宜技术推广模式。方法在大规模的政府主导、行政干预模式（Ⅰ模式）后对部分县采用第三部门主导、全社会力量参与模式（Ⅱ模式），在铜梁县采用企业主导、市场经济规律调控模式（BI模式）。结果第三部门主导模式下基层医生调查、患者满意度调查以及企业主导模式下的医生个人操作体验评价均为优。第三部门主导模式和政府主导模式下的医生及患者体验二者差异均有统计学意义（P〈0．01），第三部门主导模式优于政府主导模式。结论可持续发展的农村卫生适宜技术推广中需要建立起由政府监督、政策保障、第三部门和企业主导、全社会共同参与、市场经济规律调控的长效模式。

An analysis of the model with sustainable development for promotion of appropriate technologies in rural health

Objective To explore the promotion model with the sustainable development of appropriate technologies in rural health. Methods After a large-scale government-led, administrative intervention mode (Ⅰ mode) , the mode (Ⅱ mode) dominated by the third sector and participated in by the whole society was used in some counties, and Ⅲ model, an enterprise-led and market economy controlled mode was adopted in Tongliang County. Results The primary care doctor and patient satisfaction in the third sector participation mode, and the personal experiences of doctors in enterprise-led mode were evaluated as excellence. The differences of experience of both doctors and patients between the third sector-led and government-led were statistically significant (P<0.01) ; he third sector-led mode was better than government-led mode. Conclusion It needs to establish a long-term pattern with the government supervision and policy support, the third sector and business management, full community participation, and regulation of market economy rules for the sustainable promotion model of appropriate technologies in rural health.