摘要
目的调查上海市社区卫生服务机构基本状况及中医药卫生资源,确保上海市中医药服务示范点的示范作用。方法通过报表收集近3年社区卫生服务中医药状况及中医药社区资料;社区卫生服务调查采用分层配额随机抽样的方法抽取样本。由经过培训合格的调查员入户询问,对住户成员逐一进行询问调查。利用889名社区卫生服务机构从业人员的意向调查数据,运用单因素和多因素BinaryLogistic回归方法。结果中医药服务示范点占全市社区卫生服务中心总数的14.54%,中医药服务量占总服务量的25.98%;中医处方数占处方总数的28.11%;中药收入占药品总收入的22.73%;中医家庭病床占家床总数的27.14%;院均中医师7.81人;中心城区居民步行15min即可得到中医药服务的占78.70%;100.00%的示范点提供中医药服务;16.47%的社区居民首选中医药治疗,其中>60岁的老年人占75.34%,2周患病率为10.51%,2周就诊率为88.16%,慢性病患病率为32.49%,1年住院率为4.51%;社区医生认为中医医疗功能在社区卫生服务中心所占比例为48.90%,中医预防占24.69%。结论居民得到了许多中医药服务,中医药自然疗法缓解了“看病难,看病贵”。但投入是影响中医药社区卫生服务的重要原因,中医药队伍结构不合理仍然是中医药社区卫生服务的主要问题。中医药适宜技术开展率低,中医药特色优势未充分发挥,还远远不能满足社区居民的需求。
Objective To ensure the demonstration function of shanghai＇s demonstration units with traditional Chinese medicine （TCM）. The research is about TCM＇s resources, the requirement to TCM service of community residents and practitioner＇s knowledge, behavior and attitude to traditional Chinese medicine. Methods The data about the situation and community of TCM were collected through the questionnaire; the samples were collected by method of stratified random sampling. The qualified investigators after being training went to residents＇houses to conduct interview. The simple - factor methods and multi - factor Binary Logistic Regression were applied to analyze intention data from 889 practitioners of community health organizations. Results The percent of demonstration units of TCM in Shanghai＇s whole community centers was 14.54% ; the percent of total service amount of TCM in the whole was 25.98% ; the percent of prescription amount of TCM in the total was 28. 11% ; the percent of income of TCM in the total income of drug was 22.73% ; the percent of family sickbed of TCM in.the total was 27. 14% ; there are about 7.81 herbalist doctors in each hospital; it takes 15 min for 78.70% of the city center＇s residents to get community health services on foot; the whole demonstration units can provide TCM service; 16.47% of the community residents chose TCM service as the first choice when they receive treatments, the percent of the elderly over 60 years was 75. 34% ; prevalence rate within two weeks was 10. 51% ; the rate of going to hospital for two weeks was 88. 16% ; prevalence rate of chronic diseases was 32. 49% ; hospitalization rate in a year was 4. 51% ; community doctors considered that the percent of medical function of TCM accounts for 48.90% and the percent of prevention by TCM was 24. 69% in community health centers. Conclusion The residents in community can get much TCM service. Natural therapies of TCM can alleviate the problems of difficulty and expensiveness to see a doctor. But devotion is the important reason influencing community health service of TCM. It is still the main problem in community health service of TCM that the arrangement of TCM＇s personnel is irrational. TCM＇s development rate of feasible technique is still low, and TCM＇s special advantages are not given full play, which can＇t meet community residents＇s demand.
出处
《中国全科医学》
CAS
CSCD
2006年第17期1442-1446,共5页
Chinese General Practice
基金
上海市卫生局中医药科研课题(2004G001A)
关键词
中医药
社区卫生服务
现状调查
Traditional chinese medicine
Community health services
Present situation surveys
