村落中“关系认同”对村级卫生人力资源配置的影响与伦理研究——基于对北京市H区的实地调查研究

Ethical Study on the Influence of “Sense of Identity” on Village Health Human Resource Distribution—Based on Field Research in H County of Beijing

合理配置"留得住、用得上、管得住"的卫生人力资源是夯实农村三级医疗卫生服务网络"网底"的关键环节,而村落中的"关系认同"环境对这一资源配置发挥着潜移默化且重要的作用。以社会学研究的质性研究和历史文化研究为基本研究方法,即按照社会、文化、历史的现状背景去分析阐释其对乡村医生人力资源的影响,通过实地观察和个人深入访谈研究在村落生活表象背后的村级人力资源所处的"关系模式"和"交往方式"现状,分析这些现状对村级卫生人力资源配置的影响,遵循"存在决定意识"的历史唯物主义观点,探索适应乡村文化环境的人力资源配置对策。

Rational distribution of health human resources that can keep, use and manage is the key process to strengthen the rural three - level health service network, and to be sure, the sense of identity plays a pivotal role in it. This study, with qualitative research of sociology and research in historic culture, analyzed the influence of the status quo of social, cultural and historical background on rural doctors as health human resource. Through the field observation and individual in - depth interview, it explored the current condition of relationship mode and interac- tion way behind village life, analyzed the influences of them upon health human resource, and put forward some suggestions to adapt rural culture environment, following the view of ＂existence determines consciousness＂ of his- torical materialism.