【摘要】：伴著經(jīng)濟(jì)的快速發(fā)展以及人民生活水平的提高,我國社會(huì)的主要矛盾得到了有效的緩解,但是我國城鄉(xiāng)差距顯著,農(nóng)村居民“看病貴、看病難”的現(xiàn)象仍然很嚴(yán)重。在新型農(nóng)村合作醫(yī)療的背景下,農(nóng)村基層醫(yī)療機(jī)構(gòu)的地位和作用有了很大程度的提高,農(nóng)村衛(wèi)生事業(yè)水平得到整體改善,但是,縣、鄉(xiāng)、村三級(jí)醫(yī)療服務(wù)網(wǎng)絡(luò)所承擔(dān)的責(zé)任大相徑庭,縣級(jí)醫(yī)療機(jī)構(gòu)主要負(fù)責(zé)重病急病的治療,鄉(xiāng)鎮(zhèn)醫(yī)療機(jī)構(gòu)以一些多發(fā)病、常見病的治療為主,一般疾病常以村級(jí)醫(yī)療機(jī)構(gòu)負(fù)責(zé)。因此,農(nóng)村基層醫(yī)療機(jī)構(gòu)的服務(wù)質(zhì)量問題直接關(guān)系到農(nóng)村居民的生活健康水平,研究農(nóng)村居民對(duì)基層醫(yī)療機(jī)構(gòu)的滿意度問題,對(duì)改善農(nóng)村基層醫(yī)療機(jī)構(gòu)的服務(wù)質(zhì)量,提高其地位和作用具有重要的現(xiàn)實(shí)意義。本文根據(jù)國內(nèi)外醫(yī)療機(jī)構(gòu)的研究現(xiàn)狀,結(jié)合河北省唐山市農(nóng)村基層醫(yī)療機(jī)構(gòu)的特點(diǎn),歸納總結(jié)出影響農(nóng)村基層醫(yī)療機(jī)構(gòu)服務(wù)質(zhì)量的四個(gè)主要因素:基層醫(yī)療機(jī)構(gòu)本身、醫(yī)務(wù)人員、藥品的使用以及醫(yī)療保障制度。按照這四個(gè)主要的影響因素設(shè)計(jì)出調(diào)查問卷,通過抽樣調(diào)查獲得河北省唐山市農(nóng)村居民對(duì)基層醫(yī)療機(jī)構(gòu)滿意度情況的第一手?jǐn)?shù)據(jù)。利用基本的描述性統(tǒng)計(jì)分析和數(shù)據(jù)挖掘的方法,對(duì)農(nóng)村居民的基本情況和就醫(yī)傾向進(jìn)行分析,并建立結(jié)構(gòu)方程模型,找出農(nóng)村基層醫(yī)療服務(wù)質(zhì)量的影響因素及其影響程度。結(jié)果表明,農(nóng)村居民更加重視村衛(wèi)生室的診療效果和醫(yī)務(wù)人員技術(shù)水平的提高,而對(duì)村衛(wèi)生室的硬件設(shè)施要求不高;要想提高鄉(xiāng)鎮(zhèn)衛(wèi)生院的服務(wù)質(zhì)量,必須全面協(xié)調(diào)發(fā)展軟硬件設(shè)施,特別是醫(yī)務(wù)人員整體水平的提高。根據(jù)農(nóng)村居民對(duì)村衛(wèi)生室和鄉(xiāng)鎮(zhèn)衛(wèi)生院提出的具體的要求,本文從醫(yī)療機(jī)構(gòu)本身、醫(yī)務(wù)人員、藥品的使用以及醫(yī)療保障制度四個(gè)方面提出相應(yīng)的對(duì)策和建議。
[Abstract]:With the rapid development of economy and the improvement of people's living standard, the main contradiction of our society has been effectively alleviated, but the gap between urban and rural areas in our country is remarkable, and the phenomenon of "seeing a doctor is expensive and difficult" for rural residents is still very serious. In the context of the new rural cooperative medical system, the status and role of rural primary medical institutions have been greatly improved, the level of rural health services has been improved overall, but, county, township, The responsibility of village tertiary medical service network is quite different. County medical institutions are mainly responsible for the treatment of serious and acute diseases, township medical institutions are mainly responsible for the treatment of some frequent diseases and common diseases, and the general diseases are often taken care of by village medical institutions. Therefore, the service quality of rural primary medical institutions is directly related to the living and health level of rural residents. It is of great practical significance to improve its status and function. According to the current research situation of medical institutions at home and abroad and the characteristics of rural primary medical institutions in Tangshan City, Hebei Province, this paper sums up four main factors that affect the service quality of rural primary medical institutions: the primary medical institutions themselves. Medical personnel, drug use and medical insurance system. According to the four main influencing factors, the questionnaire was designed, and the first-hand data of satisfaction of rural residents to primary medical institutions in Tangshan City, Hebei Province were obtained by sampling survey. By using the basic descriptive statistical analysis and data mining methods, this paper analyzes the basic situation and the tendency to seek medical treatment of rural residents, and establishes a structural equation model to find out the influencing factors and the degree of influence on the quality of primary medical service in rural areas. The results show that the rural residents pay more attention to the diagnosis and treatment effect of the village clinics and the improvement of the technical level of the medical personnel, but not to the hardware facilities of the village clinics, and to improve the service quality of the township hospitals, The overall development of hardware and software facilities, especially the improvement of the overall level of medical personnel, must be coordinated. According to the specific requirements of rural residents to village clinics and township hospitals, this paper puts forward corresponding countermeasures and suggestions from four aspects: medical institution itself, medical staff, drug use and medical security system.
【學(xué)位授予單位】：河北經(jīng)貿(mào)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.6
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本文編號(hào)：2222619