[1]冯柳 赵大仁 丁燕馨 曹勍.四川省三级公立综合医院中西医协同建设现状调查[J].中国卫生质量管理,2025,32(01):037-42.[doi:10.13912/j.cnki.chqm.2025.32.1.09]
　FENG Liu,ZHAO Daren,DING Yanxin.Investigation on the Current Situation of Collaborative Construction of Traditional Chinese and Western Medicine in Tertiary Public General Hospitals in Sichuan Province[J].Chinese Health Quality Management,2025,32(01):037-42.[doi:10.13912/j.cnki.chqm.2025.32.1.09]
点击复制

四川省三级公立综合医院中西医协同建设现状调查()
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第32卷
期数:
2025年01期
页码:
037-42
栏目:
医疗质量
出版日期:
2025-01-15

文章信息/Info

Title:
Investigation on the Current Situation of Collaborative Construction of Traditional Chinese and Western Medicine in Tertiary Public General Hospitals in Sichuan Province
作者:
冯柳 赵大仁 丁燕馨 曹勍
四川省医学科学院·四川省人民医院(电子科技大学附属医院)
Author(s):
FENG Liu;  ZHAO Daren;  DING Yanxin
Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital,Affiliated Hospital of UESTC
关键词:
中西医协同; 中西医结合; “旗舰”医院; 综合医院; 四川省
Keywords:
Collaboration of Traditional Chinese and Western Medicine ;  Integration of Traditional Chinese and Western Medicine;  "Flagship" Hospitals;  General Hospitals;  Sichuan Province
分类号:
R197.3
DOI:
10.13912/j.cnki.chqm.2025.32.1.09
文献标志码:
A
摘要:
目的调查四川省三级公立综合医院中西医协同建设现状，为进一步开展中西医协同工作提供参考。方法2024年1月-3月，对四川省28所三级公立综合医院的中西医协同基本情况、中医药服务能力建设与中医技术开展情况、中西医协同管理情况等进行问卷调查。采用SPSS 22.2软件对调查结果进行统计分析。结果53.57%的医院年门急诊中医诊疗人次集中在>1万人次～<4万人次，50.00%的医院年出院患者中医诊疗人次＜1 000人次，中医类别执业医师占全院医师中位比例为5.7%。中医门诊诊室面积最小的仅有10 .00 m2，中医诊疗设备种类最少的仅有2种，约50%的医院中医优势病种数少于5种，中西医结合优势病种联合门诊数仅有1个，中医医疗技术最少的仅有5项，近60%的医院无中药制剂。仅18所（64.28%）医院成立工作领导小组推进中西医协同工作，针对中西医结合医疗实践和效果制订差别化绩效考核指标。20所（71.43%）医院建立了中西医联合查房模式和中西医结合分级诊疗服务体系，17所（60.71%）医院开展西学中人才培养教育，仅13所（46.43%）医院的非中医临床科室开展中医药类科研项目。结论四川省三级公立综合医院中西医协同建设工作仍需不断加强。未来需加强中西医协同服务能力建设，完善管理机制，创新中西医结合医疗模式，加大中西医结合人才培养力度，提升中医药临床科研能力。
Abstract:
ObjectiveTo investigate the current situation of collaborative construction of traditional Chinese and western medicine in tertiary public general hospitals in Sichuan Province, and to provide reference for the further development of collaborative work of traditional Chinese and western medicine.MethodsFrom January to March 2024, a questionnaire survey was conducted on the basic situation of Chinese and western medicine collaboration, the construction of traditional Chinese medicine(TCM) service capacity and the development of TCM techniques, and the management of traditional Chinese and western medicine collaboration in 28 tertiary public general hospitals in Sichuan Province.SPSS 22.2 software was used for the statistical analysis of the survey results.Results53.57 % of the hospitals’ annual outpatient and emergency visits of TCM diagnosis and treatment were concentrated in 10 000 to 40 000 person-times, and 50.00 % of the hospitals’ annual discharge of patients with TCM diagnosis and treatment were less than 1 000 person-times. The median proportion of practitioners of TCM in the hospital was 5.7%. The smallest area of TCM outpatient clinic was only 10.00 square meters. The minimum number of types of TCM diagnostic and therapeutic equipment was only two. About 50% of the hospitals had less than five kinds of dominant diseases of TCM. There was only one combination of dominant diseases of TCM and Western medicine. The minimum number of TCM techniques is only five. Nearly 60% of the hospitals had no TCM preparations. Only 18 (64.28%) hospitals established work leading groups to promote the collaborative work of traditional Chinese and western medicine, and formulated differentiated performance appraisal indicators for the medical practice and effect of integration of traditional Chinese and western medicine.20 (71.43%) hospitals established the integrated traditional Chinese and western medicine ward round mode and the integrated traditional Chinese and western medicine hierarchical diagnosis and treatment service system.17 (60.71%) hospitals carried out talent training education in western medicine, and only 13 (46.43%) hospitals carried out scientific research projects of traditional Chinese medicine in non-traditional Chinese medicine clinical departments.Conclusion The collaborative construction of traditional Chinese and western medicine in tertiary public general hospitals in Sichuan Province still needs to be continuously strengthened. In the future, it is necessary to enhance the construction of collaborative service ability of traditional Chinese and western medicine, improve the management mechanism, innovate the medical model of integrated traditional Chinese and western medicine, increase the training of integrated traditional Chinese and western medicine talents, and improve the clinical scientific research ability of traditional Chinese medicine.

参考文献/References:

［1］国务院办公厅.关于印发中医药振兴发展重大工程实施方案的通知:国办发〔2023〕3号［EB/OL］.(2023-02-28)［2024-05-19］.http://www.natcm.gov.cn/guicaisi/zhengcewenjian/2023-02-28/29347.html.［2］国家中医药局综合司,国家发展改革委办公厅,国家卫生健康委办公厅.关于印发《中西医协同“旗舰”医院建设试点项目管理办法》的通知:国中医药综结合发〔2023〕［EB/OL］.(2023-06-20)［2024-05-20］.http://www.natcm.gov.cn/zxyjhyss mzyys/zhengcewenjian/2023-06-20/310 02.html.［3］王斐玉.中西医协同发展，1+1>2［J］.中国医院院长,2023(22):34-36.［4］王美华.推动中西医强强联合、优势互补［N］.人民日报（海外版）,2021-07-28(10).［5］朱芳仪,翟理祥,张 慧,等.我国中西医协同“旗舰”医院建设现状与路径探析［J］.中国医院管理,2024,44(6):30-33.［6］国家卫生健康委办公厅,国家中医药局综合司,中央军委后勤保障部卫生局.关于印发综合医院中医药工作指南（2024版）的通知:国卫办医政函〔2024〕321号［EB/OL］.(2024-09-02)［2024-10-25］.http://www.natcm.gov.cn/zxyjhyssmzyys/z hengcewenjian/2024-09-19/34895.html.［7］陈巧玲,王 军,邹 霞,等.四川省三州地区卫生人力资源配置与公平性评价分析［J］.中国卫生事业管理,2020,37(5):368-371.［8］何思长,刘志会,赵大仁,等.四川省民族地区卫生资源配置与利用情况研究［J］.中国初级卫生保健,2016,30(9):9-10,40.［9］李梦萍,徐 莉,吕丽丽,等.基于PEST分析广东地区中西医协同发展的策略与思考［J］.中国卫生标准管理,2022,13(23):52-56.［10］牟 娜,卓 阳,高敏洁.医疗机构中药人用经验收集现状分析及对策建议［J］.中国新药与临床杂志,2024,43(8):582-586.［11］国家卫生健康委,国家中医药管理局,中央军委后勤保障部卫生局.关于进一步加强综合医院中医药工作推动中西医协同发展的意见:国卫医函〔2021〕126号［EB/OL］.（2021-06-10）［2024-10-25］.http://www.natcm.gov.cn/yizhengsi/zhengc ewenjian/2021-07-01/22199.html.［12］梁苗苗,刘 雅,安书杰,等.多学科联合会诊问题分析与改进［J］.中国卫生质量管理,2022,29(3):40-42.［13］张宏如,徐森磊,顾任钧.“守正创新”视域下中西医结合拔尖人才培养模式探索:以南京中医药大学中西医临床医学（“5+4”本博贯通培养）为例［J］.中国中西医结合杂志,2023,43(7):868-872.［14］胡彩云,刘媛媛,何 斌.以医院科研发展促进中医药传承创新的实践研究［J］.安徽科技,2024(3):34-36.［15］罗维军,张维晴,林启辉,等.综合医院设立中医部推进中医药高质量发展管理模式探讨［J］.中国医院,2024,28(8):88-90.［16］曹利华,康 乐,赵怡楠,等.积极推进中医药科研和创新路径研究:以河南省为例［J］.中医药管理杂志,2023,31(22):1-3.

相似文献/References:

[1]林婷婷 吴彬 叶文成 崔晓 田蔚然.基于名中医工作室的医院-社区结合脑卒中康复模式构建研究[J].中国卫生质量管理,2025,32(07):087.[doi:10.13912/j.cnki.chqm.2025.32.7.19]
　LIN Tingting,WU Bin,YE Wencheng.Research on the Construction of a Hospital-Community Integrated Stroke Rehabilitation Model Based on the Famous Traditional Chinese Medicine Physician Studio[J].Chinese Health Quality Management,2025,32(01):087.[doi:10.13912/j.cnki.chqm.2025.32.7.19]

更新日期/Last Update: 2025-01-15