河北省社区卫生服务中心中医药服务现状调查

发布时间：2018-01-24 02:51

本文关键词： 社区卫生服务中医药卫生保健设施人力和服务　出处：《中国全科医学》2014年26期 　论文类型：期刊论文

【摘要】：目的调查河北省社区卫生服务中心开展中医药服务的现状,分析存在的问题,为有关部门制定政策提供依据。方法 2013年8月,选取河北省11个地级市的100家社区卫生服务中心及其覆盖的社区居民作为调查对象。采用自制调查表进行调查,内容包括中医药进社区概况、居民对中医药进社区的服务需求等。结果回收有效问卷99份,回收率为99.0%。99家社区卫生服务中心中82家设有中医科,其中75.6%(62家)成立时间是在2008年以后。中医科业务用房面积占总面积的6.2%;中医医师占中心医师总数的18.0%;中医科门诊就诊人次数占总门诊人次数的12.1%;中医医疗收入占总医疗收入的8.2%;中药收入占药品总收入的25.3%。3.8%(31例)的居民患病后首选社区卫生服务中心中医科就诊;居民接受社区卫生服务时首选西医者占54.3%(44例),首选中医者占14.8%(12例),首选中西医结合者占30.9%(25例)。812例居民中218例接受过社区卫生服务,接受率为26.8%(218例),其中满意者占74.3%(162例),不满意者占25.7%(56例)。64.8%(105例)的满意居民认为社区的中医药服务就近方便。结论河北省中医药社区卫生服务在资金投入、中医人力资源方面存在问题和不足,居民对中医药的认识不足,对中医药服务的选择率不高。政府应加大资金投入,制定倾斜政策,加强中医药宣传,鼓励私营性中医药服务与社区卫生服务中心合作。
[Abstract]:Objective to investigate the present situation of traditional Chinese medicine service in community health service center of Hebei province, analyze the existing problems, and provide the basis for relevant departments to formulate policies. Methods August 2013. 100 community health service centers in 11 prefecture-level cities in Hebei Province and the community residents covered by them were selected as the survey objects. Self-made questionnaire was used to investigate, including the general situation of traditional Chinese medicine into the community. Results 99 valid questionnaires were collected, the recovery rate was 99.0.99 community health service centers, 82 of them had Chinese medicine department. The establishment time of 75.6 and 62) was after 2008. The area of traditional Chinese medicine service occupied 6.2% of the total area. TCM doctors accounted for 18.0% of the total number of doctors in the center; The number of outpatient visits in TCM departments accounted for 12.1of the total number of outpatient visits. TCM medical revenue accounted for 8.2% of the total medical income; The income of traditional Chinese medicine accounted for 25. 3% of the total income of drugs. (3. 8 cases) after the residents fell ill, the first choice of community health service center traditional Chinese medicine department to see a doctor; The first choice of western medicine in receiving community health service was 44 cases of western medicine, and the first choice of Chinese medicine was 14. 8 cases. The first choice of combination of traditional Chinese and western medicine was 30.9%. 218 of 25 patients received community health service, and the acceptance rate was 26.8%. Among them, 74.3 cases were satisfied (162 cases). The dissatisfied persons accounted for 25.7% of 56 cases (64.8 cases). The satisfied residents thought that the traditional Chinese medicine service in the community was convenient. Conclusion the community health service of traditional Chinese medicine in Hebei Province is invested in funds. There are problems and deficiencies in the human resources of Chinese medicine, the residents have insufficient understanding of Chinese medicine, and the selection rate of Chinese medicine services is not high. The government should increase the investment of funds, formulate preferential policies, and strengthen the propaganda of Chinese medicine. Encourage cooperation between private Chinese medicine services and community health service centres.
【作者单位】：河北联合大学;
【基金】：2013年度河北省社会科学发展研究课题民生调研专项(201301314) 2013年河北省城乡统筹及一体化研究基地课题
【分类号】：R197.1
【正文快照】： 《中共中央国务院关于深化医药卫生体制改革的意见》中提出“在基层医疗卫生服务中,大力推广中医药适宜技术”,为社区卫生服务特别是中医药进社区的发展指明了方向[1]。2013年3月河北省卫生厅等7部门联合下发的《河北省基层中医药服务能力提升工程实施方案》中明确提出加强城

【相似文献】