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目的:了解贵阳市村卫生室就诊病人诊疗行为对村医诊疗行为的影响,进一步探讨影响村卫生室病人就诊的医疗卫生服务因素,寻求有效的医疗卫生服务途径。方法:组织经过培训的具有5年以上临床经验的县级临床医师,对在村卫生室就诊的210名病人进行了问卷调查。结果:在贵阳市农村,病人以45岁以上人群为主,达47.14%;病人文化程度以小学及以下为主,达74.29%;病人的人均年收入以2 000元以下为主,达63.34%;他们对村医的诊疗技术和诊疗价格满意度分别为20.48%和22.86%;在发烧时,对输液和新药治疗期望值分别为93.33%和15.24%。结论:目前,乡村医生的诊疗行为有向不够科学化、缺乏规范化和功利化方向发展的趋势。鉴于这种情况,有关部门应对普通疾病的诊疗行为进行重点规范。同时,应开展乡村病人的诊疗健康教育和农村中老年疾病的防治,要从病人的角度来促使村医诊疗行为规范化、科学化,要发挥村民对村医生诊疗活动的民主监督。
OBJECTIVE: To understand the influence of clinic treatment behavior of village clinics on clinic treatment in village clinics in Guiyang, further discuss the factors that influence the clinic service of village clinics, and seek effective ways of medical and health services. METHODS: A group of county-level clinicians with more than 5 years of clinical experience were trained to conduct a questionnaire survey of 210 patients attending village clinics. Results: In rural areas of Guiyang, patients were over 45 years old and 47.14% of the patients were patients. The primary and secondary education of patients was 74.29%. The annual per capita income of patients was less than 2 000 yuan, accounting for 63.34% ; They are satisfied with the medical treatment techniques and treatment prices of village doctors 20.48% and 22.86% respectively; while in fever they expect the treatment of infusion and new drugs to be 93.33% and 15.24% respectively. Conclusion: At present, doctors in rural areas have not scientifically treated clinically and lack the trend of standardization and utilitarianization. In view of this situation, the relevant departments should focus on the diagnosis and treatment of common diseases. At the same time, rural clinics should be carried out health education and prevention and treatment of rural middle-aged and elderly diseases, from the patient’s point of view to promote the standardization and scientific diagnosis and treatment of village clinics, village villagers to give full play to the democratic supervision of the diagnosis and treatment activities.