臺灣博碩士論文加值系統

康區位於青藏高原的東部邊緣區，平均高度在四千公尺以上，理塘縣屬於中國大陸康區甘孜藏族自治州的重點縣之一。理塘縣的人們主要是以游牧方式生活。理塘縣的藏民接受很少的醫療照護，即使當地的基層醫療照護系統已呈現名存實亡的情況。為了改善康區藏民的醫療照護，一個基層醫療照護計劃從西元1995年開始去恢復基層醫療照護系統。理塘縣是這個計劃的起點。首要工作是訓練可以在青藏高原上即使冬天也會隨游牧藏民遷徙的鄉村醫生或赤腳醫生。
此研究是採用橫斷式研究法去研究基層醫療照護計劃。我們已在理塘縣執行兩次大型田野問卷調查，第一次是在西元1996年(樣本數為1024份)，第二次則是在西元2000年(樣本數為980份)。因此，對理塘縣疾病的型態已有很深入的了解。很多健康問題已藉由此基層醫療計劃所恢復的基層醫療照護系統獲得改善。例如，民眾對長期飲用加白土的磚茶會引起地氟病的認知，因為此計劃的實施有了大幅增加。這樣的結果鼓勵我們繼續往前走也為康區的基層醫療計劃帶來了一線希望。

Kang- area is located on the eastern edge of the Qing-Tibet Plateau with average altitudes 4000 meters. Li-Tang County is one of major counties in Ganzu Tibetan Autonomous Prefecture in Kang-area. People in Li-Tang County are characteristic in their nomadic life style. Tibetan residents in Li-Tang receive few health cares, even though the primary medical care system does exit. To improve the health care in nomadic Tibetan in Kang-area, a medical care program has been conducted since 1995 to restore the primary medical care system. Li-Tang is the training base in this project. The prime task force is to train village doctors or barefoot doctors who can practice along with nomadic Tibetan on the Plateau even during wintertime.
The study launches research with the method as the cross-sectional study to investigate this primary medical care program. We have performed two large country surveys by questionnaires in Li-Tang County in 1996(n=1024) and 2000 (n= 980), respectively. Therefore, the disease patterns in Li-Tang County are well documented. Many health problems have been improved by restoration of such primary medical care system. For example, the percentage of awareness of fluorosis caused by long-term drinking brick tea supplemented with”white dust”is dramatic increased. The prosperous results encourage us and shed light into perspective the outcome of primary medical care program in Kang-area.

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