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目的:调查浙江省农村卫生服务提供者的卫生适宜技术需求及其原因。方法:以分层随机抽样的方法,对来自浙江省两样本县的135位县乡卫生机构技术骨干和16位村卫生室负责人进行有关卫生适宜技术需求和需求原因的问卷调查。结果:县乡卫生机构的技术需求集中在西医技术。技术需求的主要原因是病人多、目前缺少其他有效的技术以及现有同类技术成本高,病人经济负担过重。村卫生室负责人最希望学习治疗肩周炎、哮喘和高血压病症的有关中医技术。部分村卫生室负责人因为没有基础、学习困难,无法承担相应费用和没有时间学习等原因不愿意接受医疗相关的学习或培训。结论:本研究反映了浙江省农村卫生服务提供者对农村卫生服务利用情况的经验判断和技术需求等相关问题,为政策制定者快速评估卫生适宜技术提供相关参考信息。
OBJECTIVE: To investigate the health needs of rural health service providers in Zhejiang Province and their causes. Methods: A stratified random sampling method was used to conduct a questionnaire survey on the technical needs of health-related technologies and the reasons for the demand of 135 heads of county and township health institutions and 16 heads of village clinics from two sample counties of Zhejiang Province. Results: The technical needs of county and township health institutions are concentrated in Western medicine. The main reason for the technical demand is the large number of patients, the current lack of other effective technologies and the high cost of existing similar technologies and the over-burden on patients. The head of village clinics most want to learn about Chinese medicine for the treatment of frozen shoulder, asthma and hypertension. Some village clinic officials are unwilling to receive medical-related study or training because they have no foundation, difficulty in learning, unable to bear the corresponding expenses and lack of time to learn. Conclusion: This study reflects the empirical analysis and technical requirements of rural health service providers in rural areas on the utilization of rural health services, and provides relevant reference information for policy-makers to quickly assess the appropriate health technologies.