“看病难、看病贵”问题医务人员专题组访谈结果与分析

Focus group discussion of medical staff on the problem of difficult and high cost to access medical services

目的了解深圳市医务人员对"看病难、看病贵"问题的看法,并收集解决"看病难、看病贵"问题的相关信息和建议。方法采用专题组讨论方法,对市、区、街道医院及社区卫生服务中心医务人员进行访谈。结果医务人员对深圳市"看病难、看病贵"的现状存在不同的看法。有的人认为在深圳市看病不太难,有的人认为在局部较难;大部分被调查者认为"看病贵"是客观存在的。被调查对象认为"看病难、看病贵"问题是社会问题,提出了医疗机构是矛盾的集聚地,而不是问题的发源地这一看法,还提出了许多不同的见解和相应的解决措施。结论必须通过全社会的努力才能有效解决"看病难、看病贵"问题,如要加大政府卫生投入,要转变医疗机构运行机制,要完善医疗保障体系,要转变就医观念,还要加强社区卫生服务体系的建设等。

Objective To know the viewpoint of health staffs in Shenzhen on the problem of the difficulties and high expense in seeing a doctor and collect the related information and suggestion. Methods Using the method of the theme group interviewing,health staffs were interviewed,which work in the municipal hospitals,district hospitals and the community health service centers. Results There are different viewpoints between health staffs on the problem the difficulties and high expense in seeing a doctor in Shenzhen. Some people think there are not too difficulties to see a doctor in Shenzhen,but other people think there is a little difficult in some extent. Most people investigated think high expense in seeing a doctor exists objectively. All people investigated think the difficulties and high expense in seeing a doctor is a social problem in fact,and present the viewpoint,namely the problem only is concentrated in medical institutions and not form here.They also present many different views and relative measures. Conclusion The problem of the difficulties and high expense in seeing a doctor must be solved effectively through the endeavor of the whole social.For example,to strengthen the government investment in health,change the operation mechanism of medical institutions,perfectthe medical security system,change the conception of seeing a doctor and enhance the construction of community health service system and so on.