[1]杨林霞张爱莲张永康廉滋鑫.太原市社区卫生服务机构中医药发展现状调研[J].中国卫生质量管理,2023,30(11):020-26.[doi:10.13912/j.cnki.chqm.2023.30.11.05 ]
　YANG Linxia,ZHANG Ailian,ZHANG Yongkang.Investigation on the Development Status of Traditional Chinese Medicine in Community Health Service Institutions in Taiyuan City[J].Chinese Health Quality Management,2023,30(11):020-26.[doi:10.13912/j.cnki.chqm.2023.30.11.05 ]
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太原市社区卫生服务机构中医药发展现状调研
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年11期
页码:
020-26
栏目:
特别关注
出版日期:
2023-11-15

文章信息/Info

Title:
Investigation on the Development Status of Traditional Chinese Medicine in Community Health Service Institutions in Taiyuan City
作者:
杨林霞张爱莲张永康廉滋鑫
山西医科大学公共卫生学院
Author(s):
YANG Linxia; ZHANG Ailian; ZHANG Yongkang
School of Public Health，Shanxi Medical University
关键词:
太原市; 社区卫生服务机构; 中医药服务; 中医药管理
Keywords:
Taiuan City; Community Health Service Institution; Traditional Chinese Medicine Service;  Traditional Chinese Medicine Mnangement
分类号:
R197.6；R2
DOI:
10.13912/j.cnki.chqm.2023.30.11.05
文献标志码:
A
摘要:
目的调查太原市社区卫生服务机构中医药发展现状,分析存在问题，提出对策建议。方法于2021年10月-2022年4月对太原市6个城区103家社区卫生服务机构负责人进行问卷调查，对6个城区12名社区卫生服务机构负责人或中医科负责人进行半结构访谈。结果101家社区卫生服务机构单独设有中医科，33家设有中医特色专科，19家有中医药发展专项经费，79家支持医保支付。166名中医类别全科医师学历以专科为主，年龄以51岁～60岁为主，工作年限以≥20 a为主，职称以中级和初级为主。社区卫生服务机构虽不同程度地开展了中医适宜技术，但部分项目开展率远低于10%；开展慢性支气管肺炎、恶性肿瘤、老年痴呆中医慢病管理项目的社区卫生服务机构占比远低于50%；开展常见传染病预防的社区卫生服务机构未达100%。86家社区卫生服务机构在新冠疫情期间利用中医药进行宣传教育。社区卫生服务机构中医药发展存在经费投入不足、中医药服务能力有限、中医高素质人才短缺、居民认知与需求度不高等问题。结论太原市社区卫生服务机构中医药服务能力逐渐提高，但仍需要增加财政经费投入，完善医保支付体系，提升医师整体素质，拓宽中医药服务范围，加大中医药宣传力度等。
Abstract:
ObjectiveTo investigate the development status of traditional Chinese medicine (TCM) in community health service institutions in Taiyuan city, analyze the existing problems, and put forward countermeasures and suggestions.MethodsFrom October 2021 to April 2022, a questionnaire survey was conducted among the heads of 103 community health service institutions in 6 urban areas of Taiyuan City, and semi-structured interviews were conducted with 12 directors of community health service institutions or heads of TCM Departments in 6 urban areas. Results101 community health service institutions had their own TCM Departments, 33 had TCM specialties, 19 had special funds for the development of TCM, and 79 supported medical insurance payments. Among the 166 TCM general practitioners, most of them had specialist education, were aged 51~60, had more than 20 years of working life, and had intermediate and primary professional titles. Although the community health service institutions carried out the appropriate technology of TCM to different degrees, the implementation rate of some projects was far less than 10%. The number of community health service institutions carrying out TCM chronic disease management projects for chronic bronchopneumonia, malignant tumor and senile dementia was far less than 50%. Less than 100% of community health service institutions had carried out the prevention of common infectious diseases. 86 community health service institutions used TCM for publicity and education during the epidemic. There were some problems in the development of TCM in community health service institutions, such as insufficient funding, limited service capacity, shortage of high-quality talents ofTCM, and low awareness and demand of residents.Conclusion The TCM service ability of community health service institutions is gradually improved in Taiyuan city, but it is still necessary to increase financial input, improve the medical insurance payment system, improve the overall quality of doctors, expand the scope of TCM service, and strengthen the publicity of TCM.

参考文献/References:

［1］徐海峰,季 光,宋欣阳.基层中医药适宜技术研究现状［J］.中华中医药杂志,2022,37(10):5877-5879. ［2］国家卫生健康委员会.中国卫生健康统计年鉴2020［M］.北京：中国协和医科大学出版社，2020:100-250. ［3］黄红铃.基层医院开展中医适宜技术存在的问题与管理对策［J］.中医药管理杂志,2022,30(3):241-243. ［4］占福丹.我国农村中医药服务的现状、问题及建议［J］.中国社会医学杂志,2013,30(5):307-308. ［5］周思彤,唐昌敏,刘桂芳,等.我国中医医联体建设现状及问题对策探析［J］.中国医院,2021,25(9):20-22. ［6］陈卓婷.中医全科医学特点与中医药社区卫生服务现状调查［J］.中医药管理杂志,2021,29(22):61-62. ［7］胡 丹,唐卫卫,朱 珠,等.基于激励相容理论的基层医疗机构医务人员工作满意度提升策略研究［J］.广西医学,2021,43(21):2584-2589. ［8］太原市医疗保险管理服务中心.助力中医药发展多渠道满足群众就医需求［EB/OL］.（2022-09-27）［2023-04-27］.https://ybzx.taiyuan.gov.cn/gzdt/202209 27/1243450.html. ［9］刘自兵,尤良震,高雁楠,等.合肥市社区卫生机构中医药人才现状调查与分析［J］.中国中医药信息杂志,2013,20(7):1-2,9. ［10］窦伟洁,甄天民,赵 芳,等.山东省基层医疗卫生机构中医药现状分析［J］.卫生软科学,2015,29(7):408-411. ［11］周文卓,俞洁凤.诸暨地区社区中医药服务能力调查［J］.中医药管理杂志,2022,30(5):72-74. ［12］曾柳艳,周玉燕,韦柳丝,等.我国中医药财政投入的公平性与效率分析［J］.卫生软科学,2022,36(2):14-19. ［13］黄 晓,朱丽云,梁力中,等.探索建立适合中医药发展的医保支付体系［J］.中国医疗保险,2022(5):98-101. ［14］黄惠勇.湖南省基层中医药服务能力现状与思考［J］.中医药导报,2019,25(21):1-3. ［15］陈宏志,尹永田.协同创新背景下“西医学习中医”继续教育人才培养的实践［J］.中国成人教育,2017(3):127-129. ［16］王 梅,郭默宁,谭 鹏,等.北京市社区卫生服务中心卫生人力资源现状研究［J］.中国全科医学,2021,24(10):1211-1217. ［17］田永峰,滕宇新,王 卫,等.2020年北京市某区家庭医生签约服务居民签约率、满意度与中医服务需求调查［J］.世界中西医结合杂志,2021,16(5):953-956. ［18］徐 州,唐 煌.社区诊疗中心中医药服务能力提升的实践与探索［J］.南京医科大学学报(社会科学版),2020,20(6):553-558. ［19］刘瑜婕,艾贺玲,潘毅慧,等.上海市基层社区家庭病床中医药服务开展情况调查与分析［J］.中国卫生质量管理,2019,26(2):22-24. ［20］富燕华,胡虎兰,周慧.推广中医适宜技术 提高社区中医药服务能力［J］.中医药管理杂志,2022,30(16):208-210. ［21］贺梦妍,任建萍,任理仙,等.杭州市签约居民家庭医生中医药服务利用情况及满意度调查［J］.医学与社会,2022,35(2):70-74. ［22］黄作为,赵 钢,张莎莎,等.上海地区居民对中医药抗击新型冠状病毒肺炎疫情接受度调查分析［J］.上海中医药杂志,2022,56(7):7-10. ［23］张 波,朱 毅,兰 克,等.武汉市社区卫生服务中心中医药服务现状调查［J］.中国卫生质量管理,2023,30(1):84-88.

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更新日期/Last Update: 2023-11-15