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目的从农村卫生服务的需方入手,分析农村居民对现行乡村医生服务的满意程度、存在问题,以及进一步的需求状况,为改善上海市乡村医生服务提供科学的依据。方法采用分层整群随机抽样的原则,调查并分析上海市8个郊区(县)24个乡镇72个村720名农村居民的意向。结果和讨论上海市乡村医生的现行服务包括服务的内容、方式、质量和态度等方面,即使是在当前社会和经济高度发展、人民生活水平不断提高的情况下,还是能够满足广大农村居民的医疗卫生服务需求的,农村居民的满意程度达到了98.3%。76.0%的被调查村实行了乡村医生一天24小时,随叫随到提供服务的时间模式,96.6%的农村居民认为,这是满足农村居民医疗需求的大势所趋。但是,当前村卫生室硬件建设如设备设施、常用医疗设备更新,乡村医生数量和素质,个别乡镇合并等行政区划对服务可及性的影响,村卫生室服务项目范围过小等成为农村卫生工作迫切需要解决的问题。
Objective To analyze the satisfaction, existing problems and further demand of rural residents for the services of rural doctors, and to provide a scientific basis for improving rural doctors’ service in Shanghai. Methods The stratified cluster random sampling method was used to investigate and analyze the intentions of 720 rural residents from 72 villages in 24 towns and villages in 8 suburbs of Shanghai. Results and Discussion The existing services of rural doctors in Shanghai include the content, methods, quality and attitudes of the services. Even in the current social and economic development, people’s living standards are constantly improving, and they can still meet the needs of the majority of rural residents The demand for health services, the satisfaction of rural residents reached 98.3%. 76.0% of the villages under investigation implemented the mode of operation of village doctors 24 hours a day and on time, and 96.6% of rural residents believed that this was the general trend to meet the medical needs of rural residents. However, the current village health clinic hardware construction, such as equipment and facilities, common medical equipment updates, the number and quality of rural doctors, individual towns merger and other administrative divisions affect the accessibility of services, the village clinic services are too small to become a rural health work Urgent problems to be solved.