历史视角下京郊村卫生室建设模式实地观察

Observation of Construction Mode of Village Clinics in Beijing Suburbs from Historical Perspective

目的:深入了解北京市远郊区县村卫生室所承载的基本医疗和公共卫生服务职能现状。方法:采取参与式与非参与式相结合的观察方式、分层随机抽样的方法在北京市H区抽取18个行政村进行实地观察。结果:京郊农村乡村医生以及村卫生室医疗服务能力整体偏低,这种现状具有历史原因。结论:从农村卫生服务保障形成的历史政策因素进行分析,并将政府购买服务的经济补偿与乡土文化特色相结合,对于加强村卫生室服务能力具有积极意义。

Objective: To know in depth the status quo of basic medical and public health services about Beijing Village Clinics. Methods:A total of 18 administrative villages in H district in Beijing were chose to be observed on the spot by taking participatory combined with non - participatory observation and stratified random sampling method. Results: In the suburbs of Beijing rural physicians^service ability status and the medical service capability of village clinics as a whole were low. But it can be analyzed from the formation of historical factors. Conclusion : It had positive significance for strengthening the service ability of village clinics from the analysis of the historical policy factors of rural health service security formation and the combination of economic compensation of the government purchase service and local cultural characteristics.