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上海市浦东新区中医治未病工作现状调查与探索

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目的:调查上海市浦东新区中医治未病服务工作现状,为中医治未病服务的发展提供对策。方法:选取 2022 年 1 月至12 月上海市浦东新区已试行开展的6 家治未病试点单位的卫生行政部门、医疗机构管理层、中医治未病医生及社区居民作为调查对象,调查 2022 年上海市浦东新区中医治未病工作完成情况和中医治未病工作测评情况,并调查社区居民对上海市浦东新区中医治未病服务知晓度情况及建议。结果:2022 年 6 家治未病试点单位治未病试点单位共计调查 3 857 人,单位门诊总挂号数 24 352 次,治未病门诊总收入 59 797 020。60 元,治未病门诊饮片收入10 009 611。64 元,治未病门诊治疗费收入2 096 917。13 元,治未病重点病种人次数1 851 次,临床病例验证人次数 967 次。卫生行政部门人员、医院管理层人员、中医治未病医生、社区居民对中医体质测评的完成率、对中医治未病工作的满意率及社区支持度均低于 60%。3 351 名社区居民中,有 2 041 人(占 60。91%)知道上海市浦东新区有开展中医治未病服务,但对于各项服务项目的知晓度均低于60%。3 351 名社区居民中,建议成立中医治未病服务团队的占85。80%、建议开展中医治未病讲座的占75。89%,建议设立亚健康咨询门诊的占72。55%,建议建立中医健康档案的占 65。23%。结论:2022 年浦东新区中医治未病科病源不足,总体门诊量较低,收费机制尚未建立健全,居民对新区开展的中医治未病服务的知晓程度、满意度低,限制了其发展,今后仍需成立中医治未病服务团队,加大中医治未病服务的宣传力度与支持力度,并建立健全收费机制,以增强社会认同。
Investigation and Exploration on the Current Situation of the TCM Preventive Treatment of Diseases in Pudong New Area
Objective To investigate the current status of traditional Chinese medicine(TCM)preventive healthcare services in the Shanghai Pudong New Area and to provide strategies for the development of these services.Methods From January to December 2022,the study selected six pilot units for TCM preventive healthcare in the Shanghai Pudong New Area as the research subjects,including health administrative departments,medical institution management,TCM practitioners specializing in preventive healthcare,and community residents.The study investigated the completion status and evaluation of TCM preventive healthcare work in the Shanghai Pudong New Area in 2022,as well as community residents'awareness and suggestions regarding TCM preventive healthcare services.Results A total of 3 857 individuals were surveyed across the six pilot units,with a total of 24 352 outpatient registrations.The total revenue from TCM preventive healthcare outpatient services reached 59 797 020.60 yuan,including herbal medicine income of 10 009 611.64 yuan and treatment fees income of 2 096 917.13 yuan.There were 1 851 patient visits for key disease categories and 967 clinical case validations.The completion rate of TCM constitution evaluation,satisfaction with TCM preventive healthcare work,and community support were all below 60%.Among 3 351 community residents surveyed,2 041(60.91%)were aware of the TCM preventive healthcare services in the Shanghai Pudong New Area,but the awareness of specific service items was also below 60%.Suggestions from the residents included establishing a TCM preventive healthcare service team(85.80%),conducting TCM preventive healthcare lectures(75.89%),setting up a sub-health consultation clinic(72.55%),and establishing TCM health records(65.23%).Conclusion In 2022,the Shanghai Pudong New Area faced a shortage of patients in TCM preventive healthcare,with overall low outpatient volume and an incomplete charging mechanism.The low level of community awareness and satisfaction with the TCM preventive healthcare services provided by the area limited its development.In the future,it will be necessary to establish a TCM preventive healthcare service team,increase the promotion and support of TCM preventive healthcare services,and establish a sound charging mechanism to enhance social recognition.

Traditional Chinese medicine preventive healthcareAwarenessCurrent statusStrategic researchPudong new area

胡晓萍、杨燕婷、潘雪红

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上海市浦东卫生发展研究院,上海 200149

上海市浦东新区光明中医医院,上海 201300

中医治未病 知晓度 工作现状 对策研究 浦东新区

上海市浦东新区卫生健康委员会卫生计生科研项目

PW2021A-29

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(11)