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农村三级医疗保健网络作为新型农村合作医疗的主要载体,其服务提供能力越来越受到关注。文章从贵州实际出发,基于农民视角,探讨了贵州乡村医疗机构存在着软硬件设施不全,乡镇卫生院服务效率低下,促使农民舍近求远到县级以上医疗机构就诊,但服务质量却难以令患者满意。目前新型农村合作医疗的运行,遭遇到医疗供方服务能力不能适应的障碍。因此,必须加强农村三级医疗保健机构资源配置,促进医疗机构竞争,并强化监管,以提升其服务能力,满足新型农村合作医疗制度运行需要。
As the main carrier of new-type rural cooperative medical system, rural three-level medical care network has drawn more and more attention on its service delivery ability. Based on the actual conditions in Guizhou, the article explores the inadequacies of hardware and software facilities in rural medical institutions in GuiZhou province and inefficient service of township hospitals, prompting peasants to approach the medical institutions above the county level for treatment. But the service quality is not satisfactory to patients. At present, the operation of the new-type rural cooperative medical system has encountered obstacles that medical providers can not meet their service capabilities. Therefore, it is necessary to strengthen the resource allocation of rural health care institutions at three levels, promote the competition of medical institutions, and strengthen supervision so as to enhance their service capabilities and meet the operational needs of the new rural cooperative medical system.