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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >What Are the Challenges Faced by Village Doctors in Provision of Basic Public Health Services in Shandong China? A Qualitative Study
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What Are the Challenges Faced by Village Doctors in Provision of Basic Public Health Services in Shandong China? A Qualitative Study

机译：在山东乡村医生在提供基本公共卫生服务方面面临哪些挑战？定性研究

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Background: Village doctors, as gatekeepers for the health of rural residents in China, are confronted with adversity in providing the basic public health services (BPHS), which has significantly impeded them from providing high quality BPHS. This study aimed to explore the obstacles and difficulties faced by village doctors in order to improve the quality and efficiency of BPHS provision and increase the health level of the population. Methods: In-depth interviews were employed to conduct this qualitative study. A total of 51 village doctors in four cities of Shandong Province were interviewed. The interviews were transcribed, anonymized, and imported into NVivo11.0 to facilitate management. Thematic framework analysis employing the constant comparison method was applied to the data analysis. Results: The main challenges faced by village doctors comprised the shortage, gender imbalance, and poor education of village doctors; older village doctors in some villages; low income; lack of social security; inappropriate performance assessment; inadequate professional BPHS training; heavy workload; and insufficient cooperation from rural residents, which have exacerbated the quality, efficiency, and accessibility of BPHS to some extent. Conclusions: Village doctors, as the important BPHS providers in rural Shandong, are facing a wide range of challenges. It is urgent for government officials and policy makers to consider these challenges and concentrate on improving the quality of BPHS provision by developing relevant and practical strategies.
机译：背景：作为中国农村居民健康守门人的乡村医生在提供基本公共卫生服务（BPHS）时遇到了困境，这严重阻碍了他们提供高质量的BPHS。这项研究旨在探讨乡村医生面临的障碍和困难，以提高提供BPHS的质量和效率并提高人口的健康水平。方法：采用深度访谈进行定性研究。采访了山东省四个城市的51位乡村医生。采访被转录，匿名化并导入到NVivo11.0中，以方便管理。采用常数比较法的主题框架分析被应用于数据分析。结果：乡村医生面临的主要挑战包括乡村医生的短缺，性别失衡和教育水平低下。一些村庄的老乡村医生；低收入;缺乏社会保障；不适当的绩效评估； BPHS专业培训不足；繁重的工作量;农村居民的合作不足，在一定程度上加剧了BPHS的质量，效率和可及性。结论：作为山东农村地区重要的BPHS提供者，乡村医生面临着各种各样的挑战。对于政府官员和政策制定者而言，迫切需要考虑这些挑战，并通过制定相关且切合实际的策略来集中精力提高BPHS提供的质量。

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