中医健康体检服务模式研究  

Chinese medical health checkup service mode: a retrospective study

作　　者：吴剑坤[1] 徐春军[1] 宋海姣[1] 张国英[1] 郭昕[1] 

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《北京中医药大学学报》2016年第8期701-704,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药标准化项目(No.SATCM-2015-BZ260)

摘　　要：目的探索建立中医健康体检服务模式。方法回顾性研究2013—2015年首都医科大学附属北京中医医院治未病中心对某事业单位职工实施中医健康体检服务前后的健康体检资料,2013年常规体检,2014、2015年增加中医健康体检服务和治未病服务。通过分析职工的满意度、生活行为方式以及体质的变化,探讨中医健康体检服务的实施效果。结果 2013年职工对健康体检服务的满意度为77.23%,2014年、2015年满意度分别为91.75%、93.06%,较2013年明显提高,差异有统计学意义(P<0.01);2014年体检结束后,针对该单位职工中医体质偏颇分布情况和饮食结构不合理、体力活动缺乏、作息不规律这3项较突出的健康风险问题,开展中医养生保健宣教,2015年的生活行为方式较2014年明显改善,差异有统计学意义(P<0.01);2014、2015年体检后接受治未病服务,即中医辨体调养干预服务3个月的人群与未干预组对比,体质有明显改善,差异均有统计学意义(P<0.01)。结论以中医体质辨识、四诊检查、中医经络检测、中医体检报告解读以及中医养生保健知识宣教为主要内容的中医健康体检服务模式,作为西医健康体检套餐的补充,与中医治未病手段结合后,能更好地满足人们改善亚健康、促进健康的需求,值得中医治未病工作者进一步研究。Objective To explore the establishment of Chinese medical health checkup service（ CMHCS） mode. Methods A retrospective study on employees of a public institution,who underwent CMHCS in Center of Preventive Treatment of Diseases,Beijing Chinese Medicine Hospital,Capital Medical University from 2014 to 2015. The effects of CMHCS was evaluated by comparison of satisfaction,life-activity style and change of TCM constitutions before（ in 2013） and after（ in 2014,2015） CMHCS. Results Employee satisfaction increased significantly in 2014（ 91. 75%） and in 2015（ 93. 06%）,compared with that in 2013（ 77. 23 %）（ P〈0. 01）. After physicals in 2014,the three health risks were highlighted,including inappropriate diet,shortage of physical activity and irregular daily schedule. Then Chinese medical healthcare education directed at the three risks with TCM contitution bias. In 2015,the life and activity style improved significantly compared with that in 2014（ P〈0. 01）. Furthermore,TCM constitution of population who underwent the intervention of ＂differentiation of constitution and recuperation＂for three months improved significantly,compared with those of people who didn＇t undergo the intervention（ P〈0. 01）. Conclusion CMHCS mode,composed of differentiation of TCM constitution,TCM fourexaminations,TCM check of meridians and collaterals,interpretation of TCM examination report,and education of TCM healthcare,is a supplement of Western medical checkup service. CMHCS mode,which is combined with Preventive Treatment of Diseases,will meet the people＇s requirement of health,and is worthy of further study.

关 键 词：中医体检 健康管理 治未病 体检服务模式 

分 类 号：R21[医药卫生—中医学]