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目的了解湖南地区乡村医生对新型农村合作医疗制度(新农合)和护理知识掌握状况,为加强农村医疗机构的医疗护理服务质量提供参考。方法分层随机抽取湖南省5个地区的5个乡镇村卫生室、卫生院中120名乡村医生,采取问卷调查及面谈的形式,调查其对新农合的了解情况、对护理知识技术的掌握和对相关培训的需求情况。结果仅10.0%~17.5%乡村医生对新农合的意义、政府和个人出资比例、报销制度、参加程序很了解;仅1所乡镇卫生院配有具备执业资格的护士;87.5%的乡村医生都认为有必要参加相关护理知识和技术的培训。结论乡村医生对新农合的了解程度有待加强,基层医疗机构的护理力量薄弱。建议加大新农合的宣传力度,定期对乡村医生进行基本护理理论和技术培训,从当地培养一批护士,以加强农村医疗机构的护理力量,使新农合切实惠及更多农户。
Objective To understand the situation of the new rural cooperative medical system (NCMS) and knowledge of nursing knowledge of rural doctors in Hunan province and provide references for strengthening the quality of medical care services in rural medical institutions. Methods Totally 120 rural doctors in 5 township and village clinics and hospitals in 5 districts of Hunan Province were stratified and randomly divided into two groups. The questionnaires and interviews were used to investigate their understanding of NRCMS and the mastery of nursing knowledge and skills And the demand for related training. The results were only 10.0% ~ 17.5%. The significance of rural doctors to NRCMS, the proportion of government and individual investment, reimbursement system and participation procedure were well known. Only one township health center had qualified nurses, and 87.5% of rural doctors Think it is necessary to attend training on relevant nursing knowledge and techniques. Conclusion The level of rural doctors’ understanding of NCMS needs to be strengthened, and the care of grass-roots medical institutions is weak. It is suggested to increase the propaganda of NCMS and regularly provide rural doctors with basic nursing theory and technical training and nurture a group of nurses locally to strengthen the nursing force of rural medical institutions so that new farmers can benefit more and more farmers.