河北省社区卫生服务中心中医药服务现状调查  

Current Situation of Chinese Medicine Services in Community Health Service Centers in Hebei Province

作　　者：魏勃[1] 白璐[1] 白俊清[1] 田春雨[1] 

机构地区：[1]河北联合大学,河北省唐山市063000

出　　处：《中国全科医学》2014年第26期3150-3152,共3页Chinese General Practice

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

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。Objective To explore the status of Chinese medicine services（ CMS） in community health service centers（ CHSC） in Hebei,to provide a basis for relevant departments formulating policies. Methods In August 2013,100 CHSCs and their serving community residents were enrolled in this study. A self- designed questionnaire was used to perform an investigation including CMS in communities,residents’ demands for CMS,etc. Results 99 valid questionnaires were recovered,the recovery rate is 99. 0%. In 99 CHSCs,82 had Chinese medical department,the business house area of which took up 6. 2% of the total area; TCM doctors accounted for 18. 0% of all physicians; the number of clinic visits of TCM department accounted for12. 1% of total visits; TCM treatment income accounted for 8. 2% of the total; Chinese drug income accounted for 25. 3% the total. 3. 8% residents（ 31 cases） chose first TCM department of CHSC when they were ill; 54. 3% residents（ 44 cases） chose first Western medicine（ WM）,14. 8%（ 12 cases） chose TCM,30. 9%（ 25 cases） chose combination of TCM and WM when they received CHS. In 812 residents,218 had received CHS（ 26. 8%）,74. 3%（ 162 cases） were satisfied,25. 7%（ 56 cases） were unsatisfied; 64. 8%（ 105 cases） satisfied residents believed that TCM services of CHSCs were near and convenient.Conclusion There exists problems and deficiencies in capital investment,TCM human resources in TCM of CHS. The residents are lack of awareness of TCM with a low choice rate. The governments should increase funding to develop favorable policies,strengthen the publicity of TCM,encourage the cooperation between private- operated TCM services and CHSCs.

关 键 词：社区卫生服务 中医药 卫生保健设施 人力和服务 

分 类 号：R211[医药卫生—中医学]