Medical care ideals among urban and rural residents in Thailand: a qualitative study
Medical care ideals among urban and rural residents in Thailand: a qualitative study
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DOI：
10.1186/s12939-015-0292-6
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发表时间：
2016-01-05
影响因子：
4.8
通讯作者：
Terasawa, Hidekazu
中科院分区：
文献类型：
--
作者：
Ikai, Tomoki;Yamtree, Saowalak;Terasawa, Hidekazu
背景：人们普遍认为城市地区比农村地区更重视医疗保健。然而，研究报告指出，泰王国城市和农村地区的保健价值观没有差别，有些研究甚至表明，农村地区的保健价值观更强。因此，我们进行了访谈，并实施了定性调查和分析，旨在阐明王国的城市和农村citizen.Methods之间的医疗环境的理想：这项研究针对居住在城市和农村地区的泰国公民。位于泰国东北部孔敬省的孔敬市被选作研究的市区。我们选择了位于同一省份的东阳村作为农村研究区域。2014年7月，我们运用建构主义扎根理论（CGT）分析方法进行了半结构化的小组访谈。结果：我们在孔敬（城市地区）采访了10人，在东阳村（农村地区）采访了7人。访谈中出现了五个主要而独特的主题。这些问题是：当地适当的医疗标准、对当地生活方式的支持、对当地医务人员的满意度、不依赖医疗服务的健康生活方式以及希望区域自治/希望在医疗方面为该地区服务。所有这些主题在这两个研究领域都很明显。因此，而不是依赖于先进的医疗服务，城市和农村的泰国公民表示希望继续生活在社区（被认为是“家庭”），为他们作出贡献，并倾向于所有他们的医疗保健需求在他们的community.Conclusions：这项研究揭示了五个共同的主题有关的医疗保健形式被视为理想的城市和农村的泰国公民。其调查结果可能对在获得和利用医疗服务方面存在城乡不平等的地区产生重要影响。
Background: Health care is generally considered to be more highly valued in urban areas than in rural areas. However, studies have reported that there is no difference in the health care values of urban and rural areas in the Kingdom of Thailand, with some studies even indicating that these values are stronger in rural areas. We, therefore, conducted interviews and implemented a qualitative investigation and analysis aimed at elucidating ideals relating to the medical environment among the Kingdom's urban and rural citizens.Methods: The study targeted Thai citizens residing in urban and rural areas. The city of Khon Kaen, located in Khon Kaen Province in northeastern Thailand, was selected as the urban area for the study. We selected Donyang village, located in the same province, as the rural study area. In July 2014, we conducted semi-structured group interviews, applying the Constructivist Grounded Theory (CGT) analytical approach.Results: We interviewed ten people in Khon Kaen (the urban area) and seven people from Donyang village (the rural area). Five major and distinctive themes emerged from the interviews. These were: locally appropriate standards of medical care, support for local lifestyles, satisfaction with local medical personnel, healthy lifestyles that do not rely on medical services, and desire for regional autonomy/desire to serve the region in terms of medical care. All of these themes were evident in both study areas. Thus, rather than relying on advanced medical services, both urban and rural Thai citizens expressed the desire to continue living within communities (considered as "families"), contributing to them, and tending to all of their health care needs within their communities.Conclusions: This study revealed five common themes relating to forms of medical care regarded as ideal among urban and rural citizens of Thailand. Its findings could potentially have important implications for areas characterized by urban-rural inequities relating to the accessibility and utilization of medical services.