我国中医技术监督模式的系统评价  

Systematic review of supervision mode on traditional Chinese medicine techniques in China

作　　者：宋旭萍[1] 马妍 韩云则 胡潇鹏 胡月 姜良贞 董彦荣 丁国武[1] SONG Xuping;MA Yan;HAN Yunze;HU Xiaopeng;HU Yue;JIANG Liangzhen;DONG Yanrong;DING Guowu(Evidence Based Social Science Research Center,School of Public Health,Lanzhou University,Lanzhou,Gansu 730000,China;Bureau of General Supervision,Health Commission of Gansu Province,Lanzhou,Gansu 730000,China)

机构地区：[1]兰州大学公共卫生学院循证社会科学研究中心,甘肃兰州730000 [2]甘肃省卫生健康委综合监督局,甘肃兰州730000

出　　处：《中国农村卫生事业管理》2023年第6期441-446,共6页Chinese Rural Health Service Administration

基　　金：兰州大学中央高校基本科研业务费专项资金资助项目(21lzujbkyzx007);甘肃省科技计划资助项目(20JR5RA262)。

摘　　要：目的 循证评价我国中医技术的卫生监督模式,为政策制定者和各级监督人员开展中医技术监督工作提供证据支持,为中医技术卫生监督教学和培训提供理论依据。方法 系统检索中国知网、国家和各省级中医药管理局网站,采用主题合成法归纳现阶段中医技术卫生监督的核心问题,并比较不同监督模式的构成要素。结果 (1)中医技术监督模式研究的区域主要集中在上海江苏等发达地区,且卫生监督部门与高校等科研机构合作发表研究较少(28.0%)。(2)与医疗养生保健机构相比,非医疗养生保健机构的培训开展情况较差(77.8%)、从业人员资质(88.9%)和执业登记(77.8%)问题突出。(3)中医技术卫生监督模式在机构自治(8.3%)与社会监督(50.0%)方面比较欠缺。结论 亟需加强中医技术服务机构准入管理,完善从业人员培训和教学机制,推进非医疗养生保健机构备案制度,构建具有区域特色的中医技术监督模式。Objective To evaluate the supervision mode of traditional Chinese medicine(TCM) techniques and to provide evidences for policymakers and health supervisors and theoretical basis for teaching and training.Methods The China National Knowledge Infrastructure(CNKI) and websites on national and provincial administrations of TCM were systematically searched. Thematic synthesis was conducted to summarize the major issues of health supervision on TCM technology. In addition, constituent elements of different supervision modes were compared.Results The results indicated that the studied areas were mainly located in the developed areas, such as Shanghai and Jiangsu Province. In addition, limited studies were published jointly by health supervision departments and research institutions(28.0%). Compared with medical health care institutions, the prominent problems of non-medical health care institutions were employee's training(77.8%), qualification(88.9%) and practice registration(77.8%). Institutional autonomy(8.3%) and social supervision(50.0%) were insufficient in the current health supervision mode of TCM techniques.Conclusions It is urgent to enhance the admittance on practitioners, improve the training and teaching mechanism for practitioners of TCM techniques, promote the registration system for non-medical health care institutions, and construct a supervision mode of TCM techniques with regional characteristics.

关 键 词：中医技术 监督模式 循证评价 传统医学 中医养生保健 

分 类 号：R19[医药卫生—卫生事业管理] R2[医药卫生—公共卫生与预防医学]