健康乡村建设背景下上海市村卫生室的中医药服务能力现状与提升对策OA北大核心CSTPCD

Objective To analyze and assess the current status of Traditional Chinese Medicine(TCM)service capacity in village clinics in Shanghai,systematically summarize development experiences,and propose policy recommendations for future improvement.Method Data were collected through questionnaires and field interviews to evaluate the service coverage,diagnostic and treatment capabilities,talent development,integrated management of towns and villages,as well as the establishment of regional TCM healthcare consortiums across 1 124 village clinics in eight rural areas of Shanghai.Results By the end of 2023,there were 2 125 rural doctors working across 1 124 village clinics,of which 78.5%were integrated into town(street)and village management.88.1%offered TCM services,and 68.0%provided appropriate TCM techniques.In 2023,a total of 7 211 148 outpatient prescriptions were issued.Specifically,0.3%of the prescriptions were for TCM prepared as slices,and 37.3%were for proprietary TCM.Additionally,66 TCM clinic were established,accounting for 5.9%of the total.TCM treatment volume reached 3 179 700 visits,representing 43.9%of all consultations.The number of TCM physicians from community health service centers who conducted rounds at village clinics was 522,averaging 0.46 per clinic.Conclusions In general,the development of TCM services in Shanghai's village clinics is positive.However,there is a need for further enhancement in the construction of TCM clinics,the use of Chinese herbal medicines,and the visiting services provided by higher-level medical institutions.