基于文献分析的我国乡村医生领域问题研究

摘要

目的：基于文献分析，探讨我国乡村医生领域存在的问题，并进行归类和分析。方法检索中国知网( CNKI)，利用设定的检索式“乡村医生+问题”，在“摘要”中进行检索，检索时间为“2000-01-01至2014-12-31”检索到文献684篇，形成评阅文献集，系统收集乡村医生领域的问题；运用边界分析法了解收集到的问题是否达到饱和，按照卫生系统宏观模型提供的“子模-概念-指标”维度，对问题进行分类和归纳。结果乡村医生领域主要存在22类问题。将22类问题进一步归类，最终归为五大方面，即资源问题、组织问题、管理机制问题、产生结果及宏观环境。结论我国乡村医生领域主要存在22类主要问题，整个乡村医生领域问题按照“结构-过程-结果”的逻辑关系相互作用和影响，同时与外部的宏观环境相互作用。%Objective To explore the problems in the field of rural doctors based on literature analysis and to classify and analyze the problems. Methods We made a retrieval of literature in CNKI. We searched" country doctor +problems" in" 2000-01-01—2014-12-31" under the condition of " abstract" . A total of 684 pieces of qualified literature were gathered, from which the problems in the field of family doctor were collected. Boundary analysis was conducted to determine whether the included problems reached saturation. According to the dimension of" submodule-concept-indicator" provided by health system macroscopic model, the problems were classified and concluded. Results There are 22 categories of problems existing in the field of family doctor. The 22 categories were further classified as five major categories: resources, organization, management mechanism, outcomes and macro -environment. Conclusion There are 22 categories of problems existing in the field of family doctor in China, and the problems interact with and influence each other in the logic relation of " structure -process-result" and also interact with the outside macro-environment.