中国全科医学2016，Vol.19Issue(1)：42-47,6.DOI:10.3969/j.issn.1007-9572.2016.01.008
社区居民对中医"治未病"的认知现状及发展策略
Cognition Status and Development Strategies of TCM"Preventive Treatment of Disease"Among Community Residents
摘要
Abstract
Objective To investigate the cognition status of TCM "preventive treatment of disease"among community residents, and explore strategies in the development , promotion and improvement of TCM "preventive treatment of disease". Methods Self-designed questionnaire was used to conduct survey on 500 community residents who received treatment in 10 community health service settings in Huangpu District in Shanghai from December 2014 to January 2015.The content of the questionnaire included the general information of the residents , the awareness of TCM "preventive treatment of disease", medical settings suitable for the implementation of TCM "preventive treatment of disease", influencing factors for TCM"preventive treatment of disease", whether TCM "preventive treatment of disease"should be included in medical insurance , cognition of governmental support and the willingness to receive the service of TCM "preventive treatment of disease".Results A total of 500 questionnaires were distributed , and 461 effective questionnaire were collected , with an effective rate of 92.2%.Among respondents, 55.5% (256/461) heard about and knew about the concept , 14.8% (68/461) heard about it but didn′t know about it, and 29.7% (137/461) didn′t hear about it.The ways of learning TCM "preventive treatment of disease"were mainly broadcast or television ( 45.7%, 148/324 ) , community publicity ( 31.2%, 101/324 ) and hospital of traditional Chinese medicine ( 27.2%, 88/324 ) .The community residents thought that the optimum medical setting for TCM"preventive treatment of disease"was community health service center (58.8%, 271/461) and hospital of traditional Chinese medicine (44.9%, 207/461), and the two most important factors influencing residents′choice of TCM "preventive treatment of disease"were technological level ( 34.5%, 159/461 ) and service content ( 26.5%, 122/461 ) .Community residents thought that TCM "preventive treatment of disease"should be included into medical insurance accounted for 64.7% ( 298/461), and 95.0% (438/461) of the residents thought that governments had provided vigorous support for TCM "preventive treatment of disease".Community residents who were willing to receive the service of TCM "preventive treatment of disease"accounted for 74.2% ( 342/461 ) , and community residents with different education background , household registration , monthly income and medical insurance form were significantly different in the proportion of being willing to receive the service ( P<0.05) .Conclusion Community residents generally have good cognition on TCM "preventive treatment of disease", but improvement still needs to be made .In order to satisfy community residents′demand and combine TCM "preventive treatment of disease"with community health service , we put forward the following strategies: increase the publicity effort of the concept to improve cognition among residents; promote the application of TCM "preventive treatment of disease"to facilitate residents′health; expand the team of talents to improve service skills; extend the dominant items in multiple fields of TCM to enrich the service content; increase government investment and incorporate the service into medical insurance .关键词
社区卫生服务/中医"治未病"/社区居民/认知/发展策略Key words
Community health services/TCM"preventive treatment of disease"/Community residents/Cognition/Development strategies分类
医药卫生引用本文复制引用
沈婉婉,鲍勇,郭丽君,戴红勤,聂欢欢..社区居民对中医"治未病"的认知现状及发展策略[J].中国全科医学,2016,19(1):42-47,6.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）
