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为研究我国新型农村合作医疗制度实施以来对医疗机构反应性的影响,文章利用2006年和2008年山东和宁夏两省(自治区)6县的调查数据,分别从病人的等候时间、诊疗过程、基础设施环境和医务人员的服务态度等几个方面进行了分析。结果发现:2008年与2006年相比,被调研县的医疗机构基础设施环境有明显改善,但医务人员的服务态度没有明显变化,部分县甚至有病人等候时间增长和诊疗过程便捷性下降的情况。由此,文章提出基层医疗卫生机构在加强基础设施建设的同时,必须推进医疗机构的内部运行机制改革,改进服务意识和管理水平,提高其反应性。
In order to study the influence of the new rural cooperative medical system on the reactivity of medical institutions in our country, this paper makes use of the survey data of 6 counties in Shandong and Ningxia provinces (autonomous regions) in 2006 and 2008 respectively from the patient waiting time, diagnosis and treatment process, basic Facilities, environment and medical staff attitude and several other aspects were analyzed. The results showed that: Compared with 2006, the medical institutions in the investigated counties had a marked improvement in the infrastructure environment, but the service attitude of the medical staffs did not change significantly. In some counties, the patient waiting time was increased and the convenience of the medical treatment was decreased . Therefore, the article puts forward that while strengthening the infrastructure construction, primary health care institutions must promote the reform of the internal operation mechanism of medical institutions, improve their service awareness and management level, and enhance their responsiveness.