我国中医药健康服务现状及提升路径研究

Study on the status quo and promotion path of TCM health services in China

目的:分析《中医药法》实施背景下中医药健康服务基本情况。方法:利用2017-2018年《中国卫生统计年鉴》《全国中医药统计摘编》及2018年5月底《中医药法》调研评估数据,对中医药医疗卫生资源与服务、中医预防和养生保健、政策和经费支持等方面进行分析与研究。结果:2017年末,全国中医类医院、每千人口中医执业(助理)医师、每千人口公立中医类医院床位分别达4566所、0.38人、0.59张;截至2018年5月底,全国开办备案制中医诊所2894所;2017年全国中医类医疗卫生机构诊疗人次、出院人数分别达10.2亿人次、0.33亿人次;全国中医类医院提供中医治未病服务1983万人次;各省均已将中医药发展经费纳入本级财政预算。结论:《中医药法》实施后,中医药健康服务能力提升显著,但与居民多层次多样化健康需求仍有较大差距。建议优先补充和提高中医药健康服务人才队伍,围绕中医药健康服务特色,筑牢基层中医服务阵地,强化中医药法配套政策落实监管,建立中医药事业经费投入长效机制,完善中医药健康服务体系。

Objective To analyze situation of Traditional Chinese medicine(TCM)services under the background of TCM law.Methods Using 2017-2018 China health statistics yearbook,the National Traditional Chinese Medicine Statistics Extract and the evaluation data on the implementation of TCM Law at the end of May to analyze the medical and health resources and services,TCM prevention and health care,policies and financial support.Results By the end of 2017,there were 4,566 TCM hospitals,0.38 TCM practitioners per 1,000 population,0.59 beds per 1,000 population in public TCM hospitals.By the end of May 2018,2,972 documented TCM clinics had been opened nationwide.In 2017,there were 1.02 billion visits and 32.91 million discharge visits from TCM medical and health institutions in China.Hospitals of TCM across the country provided medical services for 198.3 million people.All provinces have incorporated the development of TCM into budgets.Conclusion After implementation of TCM Law,health service capacity of TCM has been significantly improved,but there is still a big gap compared with residents'multi-level and diversified health needs.It is suggested to give priority to the recruitment and improvement of TCM health service personnel,focusing on the characteristics of TCM health service,building a strong base for TCM service,strengthening the implementation and supervision of supporting policies of TCM law,establishing a long-term mechanism for TCM funding,and improving the TCM health service system.