中国医疗管理科学2024,Vol.14Issue(6) :110-117.DOI:10.3969/j.issn.2095-7432.2024.06.018

居民对基层医疗卫生机构中医药服务需求的meta分析

Residents'demand for Traditional Chinese Medicine services in grassroots medical institutions:a meta-analysis

杨子晗 唐昌敏 杨晓羽 周思彤 黄智芮
中国医疗管理科学2024,Vol.14Issue(6) :110-117.DOI:10.3969/j.issn.2095-7432.2024.06.018

居民对基层医疗卫生机构中医药服务需求的meta分析

Residents'demand for Traditional Chinese Medicine services in grassroots medical institutions:a meta-analysis

杨子晗 1唐昌敏 2杨晓羽 3周思彤 1黄智芮4
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作者信息

  • 1. 430065 武汉,湖北中医药大学管理学院
  • 2. 430065 武汉,湖北中医药大学管理学院;湖北省中医药发展研究中心,湖北时珍实验室
  • 3. 430065 武汉,湖北中医药大学体育健康学院
  • 4. 430065 武汉,湖北中医药大学中医临床学院
  • 折叠

摘要

目的 系统评价我国居民对基层医疗卫生机构中医药服务需求状况.方法 在中国知网、维普期刊网、万方服务平台、中国生物医学数据库、PubMed、Cochrane Library、Medline、Embase、Science Direct中进行文献检索,收集从建库至2023 年 3 月发表的关于居民对基层医疗卫生机构中医药服务需求的文献,采用Review Manager5.4 软件进行meta分析,由研究性质与异质性结果选择固定效应模型或随机效应模型.结果 经筛选,最后共纳入 4 篇中文文献,累计研究对象 3 280 例.meta分析显示,居民总体中医药服务需求率为 74%[OR=0.74,95%Cl(0.55,0.94)],中医药知识服务需求率为 56%[OR=0.56,95%Cl(0.23,0.89)],中医药技术服务需求率为 70%[OR=0.70,95%Cl(0.40,1.00)],中医药康复服务需求率为 58%[OR=0.70,95%Cl(0.45,0.70)].结论 我国居民对基层医疗卫生机构提供的中医药服务以及各类细分服务存在较高的需求.

Abstract

Objective To conduct a systematic evaluation of the residents'demand for Traditional Chinese Medicine(TCM)services in the Chinese grassroots medical institutions.Methods Literature was retrieved from multiple databases,including China National Knowledge Infrastructure(CNKI),CQVIP,Wanfang,China Biomedical,PubMed,Cochrane Library,MEDLINE,Embase,and Science Direct.Studieson the demand for TCM services by residents at grassroots medical institutions were collected from the inception of the databases up to March 2023.The meta-analysis was performed using the Review Manager 5.4 software.Depending on the characteristics and heterogeneity of the included studies,either a fixed-effect model or a random-effects model was employed for the analysis.Results A total of four Chinese-language articles were incorporated into the study,encompassing a cumulative sample size of 3,280 subjects.The meta-analysis revealed that the aggregate demand rate for TCM services was 74%[odds ratio(OR)=0.74,95%confidence interval(CI):0.55,0.94].More specifically,the demand rates for TCM knowledge services,TCM technical services,and TCM rehabilitation services were 56%(OR=0.56,95%CI:0.23,0.89),70%(OR=0.70,95%CI:0.40,1.00),and 58%(OR=0.70,95%CI:0.45,0.70).Conclusion Chinese residents exhibit high levels of demand for the TCM services and TCM subcategory services offered by grassroots medical institutions.

关键词

中医药服务/基层医疗卫生机构/服务需求/meta分析

Key words

Traditional Chinese Medicine services/Grassroots medical institutions/Service needs/Meta-analysis

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出版年

2024
中国医疗管理科学

中国医疗管理科学

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