中医药的优势在基层,加强村医的中医药服务能力,是解决农村居民“看病难、看病贵”问题的重要途径。本研究通过随机抽样,对全国104名村医和132名村卫生室负责人进行问卷调查和访谈,了解我国农村中医药服务发展现状。研究发现,村卫生室普遍存在中医设备配备不足、村医严重短缺的问题;村医总体的工作满意度较低;农村医疗卫生中医服务能力明显不足;村卫生室一体化改革面临阻力。建议以乡村医生的系统培训为抓手,提高村卫生室的中医药服务能力。
<<The advantages of traditional Chinese medicine lie in the primary health care institution.Strengthening the ability of village doctors to provide traditional Chinese medicine is an important way to solve the “difficult and expensive medical treatment” of rural residents. By random survey,we did questionnaire survey and interviews on 104 village doctors and 132 directors of village clinic,and analyzed the current status of the development of traditional Chinese medicine service in countryside in China. The study found that village clinics generally suffer from insufficient equipment and severe shortages of village doctors;the overall job satisfaction of village doctors is low;the rural medical and health service capacity of Chinese medicine is obviously insufficient;and the integration of village clinics is facing resistance. It is recommended to use the systematic training of village doctor to improve the capacity of Chinese medicine services in village clinics.
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