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“让群众能够就近享受优质医疗服务,构建和谐医患关系”是2014年国家医改向纵深发展提出的重要目标。在农村,由于适宜适用人才匮乏和适宜适用技术的缺乏,导致乡村两级医疗卫生服务供给不力,使农村居民距“就近享受优质医疗服务”的目标仍有很大距离。村级卫生人才的老化和乡镇卫生人才的不稳定使适宜适用技术的开展缺乏有效的载体;同时,培训体系的不健全和激励机制的不完善也制约了适宜适用技术进一步提高,这些问题对乡村两级医疗机构医患信任的构建产生了至关重要的影响。为了改变这种现状,既需要乡村两级卫生机构配置适宜适用的人才,也应同时建设起适宜适用的培训体系与考核机制,使医患之间重构信任,进而实现医患关系的和谐。
“To enable the masses to enjoy quality medical services nearby and build a harmonious relationship between doctors and patients” is an important goal put forward by the state in 2014 for further development of medical reform. In rural areas, due to the shortage of suitable suitable personnel and the lack of suitable applicable technologies, inefficient provision of medical services at both rural and urban levels has left rural residents at a great distance from the goal of “enjoying quality medical services nearby”. The aging of village-level health professionals and the instability of township health professionals make the lack of an effective carrier for the development of appropriate and applicable technologies. At the same time, the inadequate training system and the imperfect incentive mechanism also restrict the further improvement of suitable and applicable technologies. These problems affect rural The construction of doctor-patient trust in two-level medical institutions has a crucial impact. In order to change this situation, we not only need appropriate allocation of qualified personnel at the two levels of rural health institutions, but also build suitable training systems and assessment mechanisms so as to reconstruct trust between doctors and patients so as to achieve harmony between doctors and patients.