社区居民对中医“治未病”的认知现状及发展策略  

Cognition Status and Development Strategies of TCM "Preventive Treatment of Disease" Among Community Residents

作　　者：沈婉婉 鲍勇[1] 郭丽君[2] 戴红勤 聂欢欢[1] 

机构地区：[1]上海交通大学公共卫生学院,上海市200025 [2]新乡医学院管理学院 [3]上海市黄浦区卫生和计划生育委员会

出　　处：《中国全科医学》2016年第1期42-47,共6页Chinese General Practice

基　　金：国家自然科学基金资助项目(71373159);国家中医药管理局资助项目--2014年中医"治未病"服务能力建设项目;教育部资助项目(13YJAZH003);上海市卫生计生委资助项目(2014SY001)

摘　　要：目的了解社区居民对中医"治未病"的认知现状,探讨社区卫生服务机构开展、推进或完善中医"治未病"服务的发展策略。方法采用自制问卷对2014年12月—2015年1月在上海市黄浦区10家社区卫生服务机构内就诊的500名社区居民进行调查,内容包括居民基本情况、对中医"治未病"的知晓情况、认为适宜开展中医"治未病"服务的机构、选择中医"治未病"服务的影响因素、对中医"治未病"是否应该纳入医保和政府支持度的认知情况、对中医"治未病"服务愿意尝试情况。结果共发放问卷500份,回收有效问卷461份,有效回收率为92.2%。55.5%(256/461)的社区居民听说过并了解中医"治未病",14.8%(68/461)听说过但不了解,29.7%(137/461)没听说过。社区居民对中医"治未病"的获知途径主要有广播或电视(45.7%,148/324)、社区宣传(31.2%,101/324)、中医院(27.2%,88/324)。社区居民认为最适宜开展中医"治未病"服务的机构是社区卫生服务中心(58.8%,271/461)和中医医院(44.9%,207/461),影响社区居民选择中医"治未病"服务的两个最重要因素是技术水平(34.5%,159/461)和服务内容(26.5%,122/461)。64.7%(298/461)的社区居民认为中医"治未病"服务应该纳入医保,同时95.0%(438/461)的社区居民认为政府对中医"治未病"服务大力支持。社区居民对中医"治未病"服务愿意尝试率为74.2%(342/461),不同文化程度、户口性质、月收入、医保形式的社区居民对中医"治未病"服务愿意尝试率间差异有统计学意义(P<0.05)。结论社区居民对中医"治未病"认知现状较好,但是还有待完善和改进。为满足社区居民的需求,将中医"治未病"与社区卫生服务相结合,提出以下发展策略:加大"治未病"理念宣传力度,提高居民认知度;推进"治未病"应用于社区卫生服务,促进居民健康;加强人才队伍建设,提高服务技能;拓展中医多领域的优势项目,丰富服务内容;加大政府投Objective To investigate the cognition status of TCM ＂ preventive treatment of disease＂ among community residents,and explore strategies in the development,promotion and improvement of TCM ＂ preventive treatment of disease＂.Methods Self- designed questionnaire was used to conduct survey on 500 community residents who received treatment in 10 community health service settings in Huangpu District in Shanghai from December 2014 to January 2015. The content of the questionnaire included the general information of the residents,the awareness of TCM ＂ preventive treatment of disease ＂,medical settings suitable for the implementation of TCM ＂ preventive treatment of disease ＂,influencing factors for TCM ＂ preventive treatment of disease＂,whether TCM ＂ preventive treatment of disease＂ should be included in medical insurance,cognition of governmental support and the willingness to receive the service of TCM ＂ preventive treatment of disease＂. Results A total of 500 questionnaires were distributed,and 461 effective questionnaire were collected,with an effective rate of92. 2%. Among respondents,55. 5%（ 256 /461） heard about and knew about the concept,14. 8%（ 68 /461） heard about it but didn＇t know about it,and 29. 7%（ 137 /461） didn＇ t hear about it. The ways of learning TCM ＂ preventive treatment of disease＂ were mainly broadcast or television（ 45. 7%,148 /324）,community publicity（ 31. 2%,101 /324） and hospital of traditional Chinese medicine（ 27. 2%,88 /324）. The community residents thought that the optimum medical setting for TCM ＂ preventive treatment of disease＂ was community health service center（ 58. 8%,271 /461） and hospital of traditional Chinese medicine（ 44. 9%,207 /461）,and the two most important factors influencing residents＇ choice of TCM ＂ preventive treatment of disease ＂ were technological level（ 34. 5%,159 /461） and service content（ 26. 5%,122 /461）. Community residents thought that TCM ＂ preventive treatment of disease

关 键 词：社区卫生服务 中医“治未病” 社区居民 认知 发展策略 

分 类 号：R197[医药卫生—卫生事业管理]