对农村医疗卫生服务网底的伦理对策研究——基于北京市H区的实地观察分析

Research on Ethical Countermeasures of the Basic Level of Rural Health Service System——Based on Field Observation in H District in Beijing

通过对农村医疗卫生服务网底现状的分析,积极探索关于农民健康和社会稳定的伦理对策:一要从制度层面上有助于形成良好的职业氛围,包括实行乡村一体化管理,将村卫生室和村医纳入体制内,严格对村卫生室和村医的绩效考核,规范村级的医疗卫生人力资源的配置;二要从教育层面上真正培养出为农民提供基层医疗卫生服务的人才,包括降低准入门槛,解决村医后继乏人的问题,培养复合型人才,不拘一格满足村民的健康需求,秉持"土生土长",使农村卫生服务网底稳固,村民真正受益;三要从精神层面上切实建树"珍生爱生"的观念。

The research carried out investigation of field observation and in-depth interview in H District in Beijing,and explored ethical countermeasures for rural residents＇ health and social stability.Firstly,fine professional circumstances should be built on the institutional level,including the integrated management of rural areas,bringing rural health centres and rural doctors into rural health service system,strictly implement performance rating of health centres and rural doctors,and regulate the rural health human resource allocation.Secondly,real health talents should be cultivated on the educational level,including lowering the admission threshold,solving the lacking of rural doctors reserve,cultivating comprehensive talents for rural health service to satisfy different needs of rural residents＇for health service,stabilizing the basic level of rural health service system,and benefiting rural residents.Thirdly,the concept of cherishing and valuing life should be established on the spiritual level.