Zhang Yin, Chen Minxing, Shi Xiu-Quan
School of Public Health, Fudan University, Shanghai, China.
School of Public Health, Fudan University, Shanghai, China Shanghai Medical Information Center, Shanghai, China.
Asia Pac J Public Health. 2015 Mar;27(2 Suppl):69S-76S. doi: 10.1177/1010539514568708. Epub 2015 Feb 10.
This study was undertaken to uncover the challenges faced by village doctors in providing basic public health services (BPHS) in western rural areas of China. This field research for BPHS, with 12 managers and 82 village doctors of county Y in Guizhou province, was conducted in July 2012 using a combination of random and purposive sampling methods. Quantitative and qualitative methods were applied for data collection. EpiData 3.1, SPSS 15.0, and NVivo 10.0 were used to analyze the data. The results showed that the main challenges in delivering BPHS include heavy workload, poor working conditions, low income, lack of social security, and insufficient cooperation from rural residents. The Chinese government officials and policy makers can consider these challenges and focus on improving the quality and equity of BPHS by developing relevant strategies.
本研究旨在揭示中国西部农村地区村医在提供基本公共卫生服务（BPHS）时所面临的挑战。2012年7月，采用随机抽样和目的抽样相结合的方法，对贵州省Y县的12名管理人员和82名村医进行了关于基本公共卫生服务的实地研究。数据收集采用定量和定性方法。使用EpiData 3.1、SPSS 15.0和NVivo 10.0对数据进行分析。结果表明，提供基本公共卫生服务的主要挑战包括工作量大、工作条件差、收入低、缺乏社会保障以及农村居民合作不足。中国政府官员和政策制定者可考虑这些挑战，并通过制定相关战略，致力于提高基本公共卫生服务的质量和公平性。
