加拿大温哥华中医针灸临床现状研究

发布时间：2018-05-13 20:01

本文选题：中医针灸 + 温哥华　；参考：《南京中医药大学》2016年博士论文

【摘要】：研究目的：中医是中国文化不可分割的一部分,中医针灸是中国文化的精粹。但随着近年来中国经济的飞速发展,市场经济对中国传统文化的冲击明显,这在一定程度上影响到了中医针灸的良性发展。本研究通过查阅文献资料追寻针灸在加拿大的发展轨迹,通过调查问卷和深度访谈了解针灸在加拿大的发展现状,为中医针灸在加拿大的进一步发展以及在世界医学舞台上发挥更好作用寻找新方向和新方法,为针灸的国际化献计献策。研究方法：1文献研究法通过查阅相关文献、书刊、报纸、会议记录等资料,用于对加拿大中医针灸发展、立法、教育、从业人员等的研究,该方法为研究温哥华中医针灸临床的发展奠定基础。2调查研究法对温哥华市中医针灸诊所临床发展现状采用问卷调查研究和实地研究相结合的研究方法,以个体为单位,由经过培训的调查员和本人自己按事先设计的《温哥华市针灸临床现状患者调查问卷》和《温哥华市针灸临床现状医生调查问卷》分别对患者和医生进行调查。3深度访谈法按照目的抽样法要求对选取的温哥华著名中医/针灸师进行深度访谈,以期发现针灸在温哥华发展现状及发展中存在的深层次问题,并根据访谈结果提出建设性建议及意见。结果：温哥华针灸临床发展优势：加拿大人普遍对中医针灸认可并接受,患者对针灸临床服务、对针灸疗效满意。从业人员积极性高。针灸对现代医学难治性疾病有较好疗效。温哥华针灸临床发展存在的问题：①政府方面：政府没有统一的规范化管理,没有设立中医针灸的公立医院,诊疗费报销比例偏低。②医生方面：医生对患者群定位不清；从业人员技术水平有限；治疗手段单一。③诊所方面：诊所规模小,没有针灸病房的设立；收费问题不统一。④公众方面：公众对针灸的认知不足。⑤其他方面：语言障碍；宣传不到位；针灸疗效不统一等等。结论和建议：结论：根据以上相关研究,可以得出结论针灸在加拿大的繁荣发展仍然有很多阻碍。产生这种情况的原因跟国家政府政策、管理和针灸技术自身方面的原因有关。建议：政府应该认可并接受针灸,最好能建立中医或针灸公立医院,也是顺应民意。加强中国文化知识的学习,扩大针灸报销比例。用科学的语言加强针灸知识的宣传,提高公众对针灸的认知。寻找针灸发展的突破口,将疑难杂症和治未病作为突破口。加强与加国中医／针灸师和现代医学从业人员的交流与合作。规范私人诊所的管理,存良去莠。要提高从业人员技术水平,扩大诊疗手段。大力发展针灸基础研究和临床研究,对其机理和疗效反复探索。
[Abstract]:Objective: TCM is an integral part of Chinese culture, TCM acupuncture is the essence of Chinese culture. However, with the rapid development of Chinese economy in recent years, the impact of market economy on Chinese traditional culture is obvious, which to some extent affects the benign development of acupuncture and moxibustion of TCM. In this study, the track of acupuncture and moxibustion development in Canada was traced by consulting literature, and the current situation of acupuncture and moxibustion development in Canada was understood by questionnaire and in-depth interviews. To find new directions and methods for the further development of acupuncture and moxibustion in Canada and to play a better role in the world medical stage, and to offer suggestions for the internationalization of acupuncture and moxibustion. Research methods: 1 Literature Research method is used to study the development of acupuncture and moxibustion in Canada, legislation, education, practitioners and so on by consulting relevant documents, books, newspapers, conference notes, etc. This method lays a foundation for the research of clinical development of acupuncture and moxibustion in Vancouver. The patients and doctors were investigated by the trained investigators and myself according to the "Vancouver Acupuncture Clinical status questionnaire" and the "Vancouver City Acupuncture Clinical status Medical Survey questionnaire" designed in advance. Depth interviews were conducted on the selected famous traditional Chinese medicine / acupuncturist in Vancouver in accordance with the requirements of the objective sampling method. The purpose of this paper is to find out the problems existing in the development of acupuncture and moxibustion in Vancouver, and put forward some constructive suggestions and suggestions according to the interview results. Results: Vancouver acupuncture clinical development advantage: Canadians generally recognized and accepted traditional Chinese medicine acupuncture and moxibustion, patients with acupuncture clinical services, acupuncture and moxibustion efficacy satisfied. Employees are highly motivated. Acupuncture and moxibustion have good effect on refractory diseases in modern medicine. The problems existing in the clinical development of acupuncture and moxibustion in Vancouver are: the government has no unified and standardized management, there is no public hospital for acupuncture and moxibustion of traditional Chinese medicine, and the proportion of reimbursement for diagnosis and treatment is on the low side. The technical level of practitioners is limited; the treatment method is single. 3 clinics: the clinic is small and there is no acupuncture ward; the fees are not uniform. 4 the public aspect: the public cognition of acupuncture and moxibustion is not enough. 5 other aspects: language obstacle; The propaganda is not in place; the curative effect of acupuncture is not unified and so on. Conclusion: based on the above studies, we can conclude that there are still many obstacles to the prosperity of acupuncture and moxibustion in Canada. The reasons for this are related to national government policy, management and acupuncture technology itself. Recommendations: the government should recognize and accept acupuncture, preferably to establish Chinese medicine or acupuncture public hospitals, and comply with the public opinion. Strengthen the study of Chinese cultural knowledge and expand the proportion of acupuncture and moxibustion reimbursement. Strengthen the propaganda of acupuncture and moxibustion knowledge with scientific language, improve the public cognition of acupuncture and moxibustion. To find a breakthrough in the development of acupuncture and moxibustion, difficult and complicated diseases and treatment as a breakthrough. Strengthen exchanges and cooperation with Canadian TCM / acupuncturists and modern medical practitioners. Regulate the management of private clinics and store the good and the bad. It is necessary to improve the technical level of practitioners and expand the means of diagnosis and treatment. To develop the basic research and clinical research of acupuncture and moxibustion, to explore its mechanism and curative effect repeatedly.
【学位授予单位】：南京中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R246

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