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蒙古国医疗保健的优势与不足:从游牧的戈壁到乌兰巴托。

The strength and weakness of Mongolian healthcare: from nomadic Gobi to Ulaanbaatar.

作者信息

Chen Wei-Ti, Mangal Otgonchimeg, Munkhbaatar Khulan, Vankhuu Enkhtuya, Arbing Rachel Ha, Yoshino Yae

机构信息

School of Nursing, University of California Los Angeles, Los Angeles, California, USA.

Dornogovi Medical School, Mongolian National University of Medical Sciences, Dornogovi, Mongolia.

出版信息

J Glob Health. 2025 Mar 14;15:03015. doi: 10.7189/jogh.15.03015.

Abstract

Mongolia, the world's second-largest landlocked country, has a healthcare system shaped by Soviet and Chinese influences. While its capital, Ulaanbaatar, houses nearly half of the population with well-developed medical facilities, rural and remote areas, including the Gobi region, face significant disparities in healthcare access. Urban migration to Ulaanbaatar is driven by better economic opportunities, healthcare services, and infrastructure. Traditional Mongolian medicine (TMM) remains an integral part of healthcare, particularly in rural areas, where it is often the primary form of treatment. Despite the adoption of universal healthcare coverage, rural healthcare struggles with workforce shortages, outdated infrastructure, and limited resources. Nurses and midwives lack professional autonomy, and preventive care remains underdeveloped. To address these challenges, Mongolia can strengthen global collaborations through its 'third neighbour policy', expanding partnerships with countries like the USA and Japan to improve healthcare education and workforce capacity. Enhancing online training, telemedicine, and disease prevention programmes, particularly in rural areas, would further support healthcare development. Expanding nursing and midwifery roles, integrating health screenings into community events, and leveraging digital health technologies can bridge healthcare gaps. A holistic approach integrating modern and traditional medicine can lead to a more resilient, accessible, and culturally appropriate healthcare system.

摘要

蒙古国是世界第二大内陆国家,其医疗体系受到苏联和中国的影响。该国首都乌兰巴托居住着近一半的人口,医疗设施发达,但包括戈壁地区在内的农村和偏远地区在医疗服务可及性方面存在显著差距。向乌兰巴托的城市迁移是由更好的经济机会、医疗服务和基础设施驱动的。传统蒙古医学(TMM)仍然是医疗保健的一个组成部分,特别是在农村地区,它往往是主要的治疗形式。尽管实行了全民医保,但农村医疗面临着劳动力短缺、基础设施陈旧和资源有限的问题。护士和助产士缺乏职业自主权,预防保健仍然不发达。为应对这些挑战,蒙古国可以通过其“第三邻国政策”加强全球合作,扩大与美国和日本等国的伙伴关系,以改善医疗教育和劳动力能力。加强在线培训、远程医疗和疾病预防项目,特别是在农村地区,将进一步支持医疗发展。扩大护士和助产士的职责范围,将健康筛查纳入社区活动,并利用数字健康技术,可以弥合医疗差距。将现代医学和传统医学相结合的整体方法可以打造一个更具韧性、更易获得且符合文化背景的医疗体系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/212e/11906202/efb2683a5ee4/jogh-15-03015-Fa.jpg

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