The Research About Systematic Evaluation And Demands For Appropriate Western Technologies In Rural

The ability of resistance to diseases of human beings is improved due to the development of health technologies, meanwhile appropriate health technologies with the feature of local needs, safe, effective, economic, and acceptance to both parties, the respectance of health ethics are becoming important.In 2008, "Ministry of Health guidance on strengthening the promotion of Appropriate Health Technology " points "Relying on health technology, studying appropriate technology demands in rural, strengthening the promotion of appropriate health technology are important aspects and key segments for implementing the health principles, promoting health technology achievements, developping health services in rural and important measures to raise up the level and capability of primary health care. "In 2009, new medical reform plan published by the Ministry of Health clearly emphasizes "primary health institutions should use appropriate technology, appropriate equipment and essential drugs, expand to cover the national medicine including Chinese medicine greatly for the urban and rural residents with safe, effective and low cost services." Therefore, the research of appropriate health technology demands and systematic review for appropriate health technologies is important to meet the demands of rural residents and the development of primary health care.Aims:of this research:we evaluate clinical effection of the 5th-7th appropriate health technologies and analyze appropriate western health technology demands in provinces of Henan and Ningxia.Methods:Systematic evaluation is used to evaluate clinical effection of the 5th-7th appropriate health technologies; in order to research health technology demands, we surveyed 4 countries,19 towns,230 doctors from country hospicals,144 doctors from town hospicals,248village doctors through interview and stratified random sampling in Henan and Ningxia. Survey information is consisted of qualitative and quantitative data, including discriptive analysis, t test,χ2 test and Meta analysis.Key findings:(1) Through systematic evaluation on 5-7 western apprpriate health technologies, the relative articals were few and down grade.The artical number of 23 technologies was below 5 and no articles'quality was assessed "A". Only one techonology's conclution was affirmed to"strong"and supported promotion.(2) Common or difficultly diagnostic (therapeutical) diseases are non-communicable chronic diseases. The disease mainly include cerebrovascular disease, diabetes and its complications, gastrointestinal disease (ulcer, inflammation), neonatal disease, hypertension, asthma, cancer, rheumatic diseases, pregnancy complications, chronic pelvic inflammatory 10 kinds of diseases in Henan; heart disease, cerebrovascular disease, diabetes and its complications, neonatal disease, lumbar disc herniation, chronic pelvic inflammation 6 kinds of diseases in Ningxia Autonomous Region.(3) There are therapeutic technology demands in connection with heart disease, cerebravascular disease, asthma, neonatal asphyxia, chronic gestritis, diabetes and its complications in Henan; diagostic and therapeutic technology demands in connection with heart disease, diagostic technology demand in connection with gynecopathy inflammation in Ningxia.(4) Short promoting time and lack of assorted medical equipment and medicine are the main influence factors restricting health technology demands in two provinces. Especially in Ningxia, "Unifying medicine in three aspects" policy restricts some essential medicine for generalized health technologies which is the main problem doctors reflected.There are lack of therapeutical technologies for occupational diseases and sociopath in technology lists.(5) The main factors influencing western appropriate health technology demands include found, economic benefit, the number of doctors and so on. Conclusions and recommendations:(1) To increase number and improve quality of relative articals for perfect conclusion by systematic review.(2)To increase therapeutical technologies used to chronic diseases such as heart disease, cerebrovascular disease and diagnostic and therapeutic technologies for occupational diseases and sociopath.(3)To strength the acceptance and increase training opportunities of health appropriate technologies in doctors in rural.(4)To provide enough fund for popularizing appropriate western health technologies.