Abstract
Objective To know the target hitting situation of TCM(traditional Chinese medicine)service and TCM resource allocation of community health centers (CHCs) in Hubei province ,and to provide references to TCM service construction in CHCs. Methods With the questionnaire made by State Administration of TCM of China(SATCM),the application situation of human resource ,department and office allocation ,Chinese herbs ,and TCM service in“Six in One”function in CHCs in Hubei were surveyed ,referred to“Primary Management Standard of TCM Services in CHCs”issued by SATCM in 2003,to calculate the rate of reaching standard of the TCM resource allocation and TCM service in CHCs in Hubei. Results There were 234 CHCs in Hubei,95(40. 6%)in big cities,73(31. 2%)in middle cities ,66(28. 2%) in small cities. (1) In CHCs in big ,middle ,small cities in Hubei ,the reaching standard rates that TCM doctors in total sum of doctors higher than 15%were 17. 9%,16. 4%,37. 9%( P =0. 003),respectively. The reaching standard rates that the clinicist received TCM training higher than 50% were 2. 1%,4. 1%,1. 5%( P = 0. 158). (2) The reaching standard rates that the TCM department was independently set were 70. 5%,32. 9%,51. 5%( P < 0. 001). (3) The reaching standard rates that the TCM pharmacy was independently set were 94. 7%,79. 5%,81. 8%( P=0. 008). (4)The reaching standard rates that prepared slices of Chinese crude drugs higher than 250 kinds were 75. 8%,52. 1%,47. 0%( P <0. 001),and the rates that Chinese patent drugs higher than 50 kinds were 88. 4%,56. 2%,65. 2%( P<0. 001).(5)The reaching standard rates that utilized TCM to prevent communicable disease were 77. 9%,68. 5%,62. 1%( P= 0. 088),the rates that used combination of TCM and western medicine to treat more than 2 kinds of chronic disease were 86. 3%,74. 0%,63. 6%( P=0. 004),the rates that the TCM health records were set reached 83. 2%,65. 8%,66. 7%,the rates that utilized the TCM therapies more than 4 kinds were 97. 9%,83. 6%,75. 8%( P<0. 001).(6)The reaching standard rates of TCM health care were 84. 2%,72. 6%,60. 6%( P =0. 003),the rates of TCM rehabilitation were 94. 7%,87. 7%,69. 7%( P<0. 001),the rates of TCM health education were 90. 5%,82. 2%,71. 2%(P=0. 007),the rates of TCM technique service of family planning were 74. 4%, 49. 3%,54. 5%( P = 0. 002). (7) In CHCs in big ,middle ,small cities in Hubei ,the reaching standard rates of TCM human resources were 2. 1%,0. 0%,0. 0%;the rates of TCM agency configuration were 66. 3%,24. 7%,39. 4%;the rates of Chinese medicine allocation were 66. 3%,42. 5%,37. 9%;the rates of application of TCM in“Six in One”were 55. 8%,23. 3%,25. 8%( P < 0. 001);the comprehensive reaching standard rates were 2. 1%,0. 0%,0. 0%( P < 0. 001). Conclusion The human resources allocations in CHCs in small cities in Hubei are higher than those in big and middle cities ,other CHCs resources in big cities are higher than those in middle and small cities ,the reaching standard rates of TCM in CHCs in big cities are the highest and in small cities are the lowest.关键词
社区卫生服务中心/中医药/资源与服务/标准化建设Key words
community health centers (CHCs)/traditional Chinese medicine (TCM)/resources and services/standardized construction分类
医药卫生
