中国全科医学2016，Vol.19Issue(1)：34-41,8.DOI:10.3969/j.issn.1007-9572.2016.01.007
社区医务人员对中医"治未病"政策的认知情况及发展建议
Cognitive Situation and Development Suggestions of TCM"Preventive Treatment of Disease"Policy Among Community
摘要
Abstract
Objective To investigate the cognitive status and development recommendations of TCM "preventive treatment of disease"policy among community health workers .Methods From December 2014 to January 2015, we enrolled 430 health workers from 10 community health service settings in Huangpu District of Shanghai .Using self-administrated questionnaire about the cognition and development of TCM "preventive treatment of disease"among community health workers in Huangpu District in Shanghai , we conducted survey on included health workers .The content of the questionnaire included the service items, difficulties in the process , factors that prevent residents from receiving the service , whether the charge is reasonable , whether its mechanism and content are appropriate , service objects and scope of the services .Results A total of 430 questionnaire were distributed , and 403 effective questionnaires were collected with an effective recovery rate of 93.7%.The health workers thought that the key service items should be fitness /health maintenance/nourishing , intervention of risk factors for health and health maintenance in convalescent phrase after disease accounted for 62.3% (251/403), 55.8% (225/403) and 52.1% ( 210/403 ); the health workers who thought the content was appropriate took up 60.3% ( 243/403 ); the health workers believed the major difficulties were concerned with economy ( 64.0%, 258/403 ) , policy ( 54.3%, 219/403 ) and business technology (52.6%, 212/403); the health workers thought the factors that prevent residents from receiving the service were service content ( 54.3%, 219/403 ) , technological level ( 51.1%, 206/403 ) , equipment condition ( 45.7%, 184/403) and payment method ( 38.2%, 154/403 ); for payment method , the health workers who thought the charge was reasonable took up 8.4% ( 13/154 ); the health workers who thought the mechanism was appropriate took up 61.8% ( 249/403); the health workers who thought the content was appropriate took up 60.3% (243/403); the health workers believed the service objects should be healthy people (70.0%, 282/403), subhealthy people (89.8%, 362 /403),subclinical people (66.3%, 267/403) and patients (48.4%, 195/484); the service scope believed to include disease prevention (87.8%, 354/403 ) , health maintainence ( 76.7%, 309/403 ) , recovery ( 61.0%, 246/403 ) , medical treatment ( 60.8%, 245/403), ect; the health worers who thought that the information status can not satisfy the demand of residents accounted for 65.8% (265 /403); the health workers who thought the included medical settings had taken effective measures in expanding service objects took up 73.9% (298/403); the health workers who thought that TCM "preventive treatment of disease"should be included in medical insurance accounted for 50.2% (202/403); health workers who thought the time was ripe for the united actions in upper and basic levels took up 45.9% (185/403); the health workers who thought that it was necessary to carry out the service of TCM "preventive treatment of disease"with support from social capital took up 79.9% (322/403) .Conclusion The cognition degree on TCM "preventive treatment of disease"policy is high among community health workers , and they believe that the project of TCM "preventive treatment of disease"should be vigorously supported by economy and policy; the key is to develop programs needed by resident , improve implementation process , build sound project implementation insurance system; on-the -job training and equipment should be reinforced; the advantages of social capital , internet and mobile network should be fully used.In this way, more people -oriented service could be developed , the coverage of market can be expanded , the medical cost can be reduced , and satisfactory service can be provided .关键词
社区卫生服务/中医"治未病"/政府政策/医务人员/认知/发展建议Key words
Community health services/TCM "preventive treatment of disease"/Public policy/Medical staff/Cognition/Development suggestions分类
医药卫生引用本文复制引用
郭丽君,鲍勇,孙炜,刘夏,戴红勤..社区医务人员对中医"治未病"政策的认知情况及发展建议[J].中国全科医学,2016,19(1):34-41,8.基金项目
国家自然科学基金资助项目(71373159) （71373159）
国家中医药管理局资助项目——2014年中医"治未病"服务能力建设项目 （）
教育部资助项目(13YJAZH003) （13YJAZH003）
上海市卫生计生委资助项目(2014SY001) （2014SY001）
