上海市基层社区家庭病床中医药服务开展情况调查与分析

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英文篇名：Investigation on the Development of Traditional Chinese Medicine Service in Family Beds in Community of Shanghai 作者：刘瑜婕 ; 艾贺玲 ; 潘毅慧 ; 潘晓烨 ; 张源 ; 周剑锋 ; 王剑波 ; 丁燕 ; 何乔 ; 高妍 ; 刘正清 ; 王丽萍 ; 狄春明 ; 刘登 英文作者：LIU Yujie;AI Heling;PAN Yihui; 关键词：上海市 ; 基层社区 ; 家庭病床 ; 中医药服务 英文关键词：Shanghai;;Grassroots Community;;Family Beds;;Chinese Medicine Services 中文刊名：WSJG 英文刊名：Chinese Health Quality Management 机构：上海市静安区芷江西路街道社区卫生服务中心;上海市静安区北站医院;复旦大学社会发展与公共政策学院;上海市静安区彭浦新村街道社区卫生服务中心;上海市浦东新区上钢社区卫生服务中心;上海市徐汇区徐家汇街道社区卫生服务中心;上海市徐汇区田林街道社区卫生服务中心;上海市嘉定区安亭镇社区卫生服务中心;上海市静安区天目西路街道社区卫生服务中心医院;上海市静安区曹家渡街道社区卫生服务中心;上海市静安区宝山路街道社区卫生服务中心;上海市静安区临汾路街道社区卫生服务中心; 出版日期：2019-03-28 出版单位：中国卫生质量管理 年：2019 期：v.26;No.147 基金：上海市家庭医生中医药服务示范岗(项目编号:Jtyszyfv28);; 上海市卫生计生委面上项目(项目编号:201740271);; 上海市徐汇区青年人才培养计划项目(项目编号:QNRC201622);; 上海市静安区卫生科研课题面上一般项目(项目编号:2017MS09);; 2017年上海市卫生和计划生育委员会科研课题青年课题(项目编号:2017QN347);; 2017上海市卫生计生委定向委托项目(基层处定向8—上海市家庭病床督导) 语种：中文; 页：WSJG201902010 页数：3 CN：02 ISSN：61-1283/R 分类号：30-32

摘要

目的了解上海市基层社区家庭病床中医药服务开展情况,发现问题,提出建议。方法对上海市16个区240家社区卫生服务中心中医药家庭病床建床情况、中医药服务开展情况和工作人员构成情况进行调查。结果2017年,上海市新建中医药家庭病床占新建家庭病床总数的17.02%,中心城区和郊区中医药服务建床数存在显著差异。中医药服务主要集中在理疗、敷贴、针灸3个项目,中心城区和郊区中医药服务项目开展情况存在显著差异。从事中医药家庭病床的医师均为中医类别的家庭病床医师,高级职称、硕士及以上学历中医执业医师占比偏低,中心城区和郊区工作人员构成未见显著差异。结论中医药家庭病床服务量较小,有较大发展空间;中医药服务项目较少,有待进一步拓展;高学历、高职称中医执业医师比例偏低,需提升人才建设水平;上海市中心城区和郊区中医药服务家庭病床发展不均衡,需合理分配资源。
        Objective To investigate the development of traditional Chinese medicine(TCM)service in family beds of community health service centers in Shanghai,to find problems and propose corresponding suggestions. Methods A survey was conducted on the family beds of TCM service,the development of TCM service and the composition of staff in 240 community health service centers in 16 districts of Shanghai. Results In 2017,the number of new TCM family beds in Shanghai accounted for17.02%of the total number of newly built family beds,and there were significant differences in the number of beds built in the central and suburban TCM services.In the development of TCM services,it mainly focused on three projects of physiotherapy,application and acupuncture.There had significant difference in the development of TCM service projects between central and suburban areas.The doctors who engaged in family beds of TCM were family bed doctors in the category of TCM.The proportion of TCM practitioners with senior professional titles,master's degree or above was low,and there was no significant difference on the composition between central urban and suburban staff. Conclusion The service volume of TCM family beds was small and there was much room for development;there were few TCM service projects which needed to be further expanded;the proportion of TCM practitioners with high education and high professional titles was low,and the level of talent construction needed to be improved;the development of family beds in TCM in the suburbs was uneven,and there was an urgent need to allocate resources rationally.

引文

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