| Summary: | 碩士 === 國立陽明大學 === 傳統醫藥學研究所 === 92 === 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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