Research on the Development of Prescription-Based Processing of Traditional Chinese Medicine Decoction Pieces in Medical Institutions in China
Objective To investigate the current status of prescription-based processing of traditional Chinese medicine(TCM)decoction pieces in medical institutions in China.Methods Chinese medicine hospitals,general hospitals,special hospitals and community hospitals were selected for questionnaire survey by the Questionnaire Star platform around the basic information of TCM decoction pieces,the building of prescription-based processing rooms,the development of prescription-based processing projects,and the staffing of prescription-based processing.Results A total of 73 medical institutions participated in the survey,from 29 provinces(autonomous regions,municipalities)in China,mainly Chinese medicine hospitals(61,83.56%)and tertiary hospitals(62,84.93%),and most of TCM decoction pieces in use were provided only by manufacturing enterprises(54,73.97%).The respondents in 64 medical institutions(87.67%)thought that the prescription-based processing was closely related to the clinical efficacy of TCM decoction pieces.The clinical physicians in 56 medical institutions(76.71%)had a demand for prescription-based processing.There were 27 medical institutions(36.99%)having prescription-based processing rooms,of which 12 had complete equipment and only 24 carried out this work.Among the above 24 medical institutions,seven(29.17%)had chargeable items for prescription-based processing;seven(29.17%)had the prescription-based processing costs that had been included in medical insurance,of which two were all included,and five were partially included;16(66.67%)arranged for full-time pharmacists to engage in prescription-based processing;13(54.17%)required the academic qualifications of bachelor's degree or above for relevant personnel;18(75.00%)required the professional title of pharmacists(junior level)or above for relevant personnel.The respondents in 62 medical institutions(84.93%)thought that it was necessary to build prescription-based processing rooms for TCM decoction pieces,and 68(93.15%)thought that it was necessary to carry out this project for TCM decoction pieces.The top three processing methods with high use frequency were powdering,stir frying and cutting,and most of methods based on the Chinese Pharmacopoeia(2020 Edition,Volume Ⅰ).There were a total of 71 TCM decoction pieces by prescription-based processing,including animal pieces,seed and fruit pieces,aromatic pieces and so on.Conclusion At present,there are a few medical institutions in China developing the prescription-based processing,while conventional TCM decoction pieces can hardly fully meet the needs of clinical differentiation and treatment,which hinders the development of TCM to a certain extent.It is suggested that relevant departments should issue the policies such as specifications and fee standards for prescription-based processing to promote the standardized development of prescription-based processing in medical institutions.
medical institutiontraditional Chinese medicine decoction piecesprescription-based processingresearch