摘要
目的了解目前我国中医药服务在基层医疗卫生机构中的开展现状,分析社区卫生服务中心中医药服务存在的问题,为深入、有效开展社区卫生服务中心中医药服务提出政策建议。方法 2015年10—12月,按照我国东、中、西部地区的区域划分结果,采用目的抽样法在东、中、西部地区分别随机抽取2个省/直辖市（浙江省、北京市）、1个省（安徽省）、2个省（四川省、贵州省）,然后在每个省/直辖市随机选取2家社区卫生服务中心作为调查单元。调查社区卫生服务中心服务人口基本情况、社区卫生服务中心中医资源配备情况、社区卫生服务中心中医药服务开展情况。采用方便抽样法抽取10家社区卫生服务中心辖区居民300人进行调查,调查内容包括居民对所在社区卫生服务中心中医药服务的满意度情况。结果 10家社区卫生服务中心辖区的户籍人口为769 810人,常住人口920 548人,其中常住老年人128 881人,0~3岁儿童34 954人。10家社区卫生服务中心均按照要求进行了中医科室的设置和建设。10家社区卫生服务中心中,执业医师总数为472人,中医执业医师为158人（33.47%）;中医执业医师数占执业医师数总数最高比率为55.56%（5/9）,最低比率为11.11%（4/36）。东部、中部、西部地区社区卫生服务中心的中医执业医师数占执业医师总数的34.00%（85/250）、34.00%（17/50）、32.56%（56/172）。10家社区卫生服务中心平均配备中药饮片种类为389种。东部、中部、西部地区社区卫生服务中心平均配备的中药饮片种类分别为435、373、351种。10家社区卫生服务中心均配备中医药服务和中医药适宜技术。10家社区卫生服务中心2014年度门诊量为1 088 929人次,中医门诊量为369 976人次（33.98%）;10家社区卫生服务中心中,中医门诊量占门诊总量最高比率为51.30%（41 000/79 922）,最低比率为12.00%（4 750/39 583�
Objective To study the development status of traditional Chinese medicine in primary health care institutions,and to analyze the existing problems of traditional Chinese medicine service in community health service centers so as to provide policy suggestions for developing traditional Chinese medicine service in community health service centers thoroughly and effectively. Methods From October to December in 2015, according to the division results of China- Eastern region,Central region and Western region, two provinces / municipalities（ Zhejiang, Beijing）, a province（ Anhui）, two provinces（ Sichuan,Guizhou） were randomly selected from Eastern region,Central region and Western region respectively,and then two community health service centers were randomly selected from each province / municipality as the study unit. The basic situation of service population,equipment situation of traditional Chinese medicine resources, developing situation of traditional Chinese medicine service in community health service centers were investigated. By convenience sampling method,300 residents in areas under administration of 10 community health service centers were investigated. The survey included satisfaction of residents of traditional Chinese medicine service in the local community health service centers. Results The registered population under the jurisdiction of 10 community health service centers was 769 810,the permanent population was 920 548,including 128 881 permanent aged people and 34 954 children aged 0 to 3. The 10 community health service centers had all set up and constructed the department of traditional Chinese medicine in accordance with the requirements. In the 10 community health service centers,the total number of practitioners was 472,and the number of traditional Chinese medicine practitioners was 158（ accounted for33. 47%）; the highest rate that the number of traditional Chinese medicine practitioners in the total number of practitioners was55. 56%（ 5 /9）,and the lowest rate was 11. 1
作者
孙涛
丁小燕
周巍
SUN Tao DING Xiao -yan ZHOU Wei(Beifing Community Health Service Management Center, Beijing 100053, China National Health and Family Planning Commission, Beijing 100191, China)
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第30期3756-3761,共6页
Chinese General Practice
基金
国家卫生和计划生育委员会项目--社区中医药服务能力现状研究
关键词
中医药机构
社区卫生服务
病人满意情况
Institution of traditional Chinese medicine
Community health services
Satisfaction situation of patients
