摘要
Abstract
Objective To investigate the attainment of TCM and the demand for TCM training among non - TCM general practitioners and prevention and health care staff in community health service settings in Beijing,in order to provide references for the formulation of relevant policies by governmental departments. Methods Using random number table method, we randomly selected 3 to 6 community health service centers from each of 16 districts/ counties of Beijing,and at last 62 community health service centers were selected. We randomly selected one community health service station from each of the 62 centers and selected all together 62 community health service stations. From the selected stations,all non - TCM general practitioners and prevention and health care staff were enrolled by cluster sampling method. From July 16 to August 16 in 2014, questionnaire survey was conducted. The questionnaire had two versions for general practitioners and prevention and health care staff,and the content covered basic information,the attainment of TCM and the demand for TCM training. Results The score of TCM attainment of non - TCM general practitioners was(67. 74 ± 13. 55),and the scores of four dimensions of TCM attainment, namely cognition of appropriate technology for TCM,cognition of policy for TCM,cognition of clinical knowledge of TCM and cognition of elementary theory of TCM,were(39. 09 ± 22. 61),(46. 18 ± 35. 31),(95. 92 ± 10. 80)and(72. 95 ± 27. 25) respectively. There were significant differences in the score of TCM attainment among general practitioners with different educational degrees and between general practitioners that had attended ″ the training on the rational use of Chinese patent medicine for general practitioners in Beijing″ and general practitioners who had not attended that(P < 0. 05). The score of TCM attainment of non - TCM prevention and health care staff was(50. 09 ± 23. 07),and the scores of three dimensions of TCM attainment,namely cognition of TCM knowledge for the health management of elders,cognition of TCM knowledge for the health management of pregnant and lying - in women,and cognition of TCM knowledge for the health management of children,were (33. 80 ± 33. 75),(44. 71 ± 29. 98)and(71. 22 ± 34. 60)respectively. There were significant differences in the score of TCM attainment among prevention and health care staff from different districts/ counties( P < 0. 05). Of all the subjects,96. 8%(1 060 / 1 198)of general practitioners and 78. 1% (574 / 735)of prevention and health care staff thought it was necessary to carry out TCM training. Conclusion Non - TCM general practitioners and prevention and health care staff in community health service settings in Beijing have poor TCM attainment and therefore have much demand for TCM training. We suggest research on indexes of TCM attainment,appropriate technology for TCM,publicity for TCM policy,mastery of clinical knowledge of TCM and the application of Chinese patent medicine should be intensified,in order to improve the TCM service ability of medical staff.关键词
中医素养/培训需求/社区卫生服务机构Key words
TCM attainment/Demand for training/Community health service settings分类
医药卫生
