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Analysis Of The Current Situation Of Emergency Medical In Village Clinics Of Dalian

Posted on:2013-12-05Degree:MasterType:Thesis
Country:ChinaCandidate:F SunFull Text:PDF
GTID:2254330398486128Subject:Emergency Medicine
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Objective: Based on the field investigation data of basic heath service providedby76village clinics from4small towns including Songshu town of Dalian Wafangdiancity, using the experience of rural basic heath service from India, Cuba, Britain and theUnited Kingdom and the United States for reference, the article gives the systematicalanalysis of system construction and government supervision of rural heath service inour country. It analyzes the reason why rural doctors lack of ability to solve unexpectedcalamities accidents and emergency treatment skill and gives the resolution. It offers thescience decision basis to the government to establish development plan andmanagement policy and the thoughts to improve the level of rural medical treatment tocope with unexpected calamities accidents.Methods: The thesis made an investigation on the acquisition of emergencyknowledge and technology among193village health workers and76village clinicsfrom4small towns of Dalian Wafangdian city by the methods of field survey andlocated observation, study on documentation and policies, expert discussion andinterview, etc. It analyzed the domestic rural heath status in comparison by statisticaldescription and gave the systematical analysis of system construction and governmentsupervision of rural heath service in our country. It analyzed the reason that ruraldoctors lack of ability to solve unexpected calamities accidents and emergencytreatment skill. The result was analyzed using SPSS.Results: Most of the village clinics from4small towns in Songshu town of DalianWafangdian city run by the villages for56.6%.56.31%of the rural medical workersobtained the qualification are46-56years old while the proportion under20years lessthan5%. The statistical test showed the significant difference (H=78.408,P=0.000).The medical personnel without formal professional record accounted for 22.3%, most of them have received technical secondary education for49.7%.The Maindisease type is the infectious diseases which account for66.81%.74village clinics of allhave developed idiopathic sudden public health events management. The proportions ofthe neonatal mortality are3‰in the tality rate are11‰in China,3‰in Cuba,34‰inIndia,3‰in the United Kingdom and4‰in the United States. The coveragepercentages of prenatal examine are91‰in China,100‰in Cuba and74‰inIndia.The low proportion for the parts educated by training after graduation in the183rural medical workers account for only10.38%so the one without training reach to89.62%.51.37%of the tested have been without short-term medical knowledgetraining.The proportions had wrong answer to the emergency knowledge are62.3%,64.5%,93.44%and98.36%while the proportions had right answer to differentemergency skill are41.5%,6.56%,47%and25.14%.The proportions had right answer tothe meaning of different color ribbons on the patients’chests of serious disaster accidentoccurrence are23.1%,26.6%,15.4%,31.4%.Conclusions: Improving health financial investment and basic construction to thevillage clinics brook no delay is imperative;Great Attention should be paid toemergency treatment skill training to rural health workers especially for weakness link.
Keywords/Search Tags:rural medical, emergency treatment, rural doctors, emergency treatment skill
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