村卫生室服务对象的医疗需求行为现状及心理因素分析

Behavior of Medical Needs and Psychological Factors of Villagers in Village Clinics

目的了解当前农村人群的医疗卫生需求行为的现状及其心理影响因素。方法 2009年7—8月在京郊农村实施了实地观察和个人深入访谈,共观察和访谈了当地村民106名。结果他们普遍希望村医能够"具备较高的技术水平"。在问到村民"最担忧的问题"时,"担心看不起病"排在首位。有48人(45.3%)表示愿意与村医聊家常,57人(53.8%)表示没有机会和村医聊天,有26.4%的调查对象认为目前的乡村医患关系好,有64.2%的调查对象认为医患关系一般。针对村民与自己所在村的村医关系,30.2%的调查对象认为与村医的关系好,10.4%认为关系比较好,58.5%认为关系一般。结论在农村特殊的生活环境中村民对于医患关系的状态普遍具有正向的认知,在就医观念中依然存在着医疗信息缺乏并且受着传统观念的影响,经济因素和健康因素的担忧仍然是村民最为忧虑的重要问题。

Objective To Understand the current status of behavior of medical needs of rural population nowadays and the influencing factors psychologically. Methods From July to August 2009,the field observation and personal in-depth interview were conducted in the suburbs of Beijing,a total of 106 villagers were interviewed. Results The villagers commonly hoped the village doctors are of higher technical skills.The first problem they mostly worried about was their ＂incapability to seek medical care＂.There were 48 people（45.3%） expressed their willingness to chat their own affairs with the village doctors,57（53.8%） said they had no chance to chat with doctors.Some 26.4% of them considered that now the relationship between patients and doctors was good,some 64.2% held that the relationship between patients and doctors was moderate.As for their personal relationship with village doctors,some 30.2% of the subjects believed it was good,10.4% believed it was relatively good,and 58.5% held that it was moderate,and only one expressed that it was bad. Conclusion The villagers generally have a right cognition of the relationship between patients and doctors in the special environment of their living.In medical idea the villagers are short of medical information and at the same time they are still impacted by the traditional concepts.The economic and healthy factors are still the most important problems they worried about.