河南省村卫生室中医服务调查分析

Investigation Analysis of Traditional Chinese Medicine Service in Village Clinic

目的分析河南省村卫生室提供中医服务的情况。方法采用统一问卷对省内60 102个村卫生室进行普查。结果村卫生室占医疗机构总数的88.13%;村举办和个人举办的村卫生室占76.93%;中专和无学历的村医占92%;村卫生室中能开中药的村医占82.49%;中医执业医师占其执业医师数的51.16%;有中医学历的村医占全省有中医学历的人数33.28%;4种调查的中医设备平均每种设备每个村卫生室不到一个;村卫生室的中医门急诊人次数占全省中医门急诊人次数的60.38%,中药的处方数占全省中药总处方数的27.64%,但其中药收入只占全省中药总收入3.13%。结论我省村卫生室是河南省医疗机构的主体;以村举办和个人举办为主;中医在村卫生室有良好的发展基础;中医药在我省农村发挥了简便、价廉的积极作用;村医的学历以中专和无学历为主,农村医疗质量缺乏高素质人力资源的保证;村卫生室需要加强提供中医服务所需的硬件设施建设。

Objective To survey the services provided by Traditional Chinese Medicine （TCM） in rural village clinic（VC） in Henan Province. Methods Totally 60102 VCs were surveyed with the uniformed questionnaire in 2010. Results Approximate 88.13% of the total health service institutions in Henan Province were VCs;76.93% of the VCs were owned by the village or individuals ;92% of the VC doctors were with two-year medical education or without formal medical education ;82.49% of the VC can prescribe the TCM ;51.16% of VC doctors with practice license were the TCM village doctors;33.28% of provincial doctors with TCM education certificate were the VC doctors ; each VC cannot be allocated one piece for every kind of equipment among 4 kinds of investigated TCM equipment ;60.38% of the provincial TCM outpatient and emergency visits were in VC ;27.64% of total provincial prescription were from TCM prescription of VCs,but only 3.13% of total provincial TCM income was from the VC. Conclusion VC is the majority of the health service institutions of Henan Province, which are mainly owned by the village and individuals ;TCM has a good development basis in the VC, and TCM has played an active role in supply of the convenient and cheap health service;the quality of care in VC cannot be assured since the majority of VC doctor received two-year or no formal medical education;VC need be allocated more TCM equipment.