国家基本药物制度下绵阳市基层中医特色卫生院发展现状调查分析

Investigation and Analysis of the Development of Primary Hospitals with TCM Characteristics in Mianyang City under National Essential Medicine System

目的:为基层中医特色卫生院的健康稳定发展提供参考。方法:采用问卷调查与访谈调查相结合的方式,对绵阳市3家中医特色的乡镇卫生院的人员配备与结构、基本药物和医疗设备配置与使用情况等进行调查分析。结果:共发放机构调查问卷3份,回收有效问卷3份,有效回收率为100%。3家中医特色卫生院的职称均以初级为主,主要为护理和医疗技术人员,约占调查总人数的78.45%;中级职称以上的医护人员的平均年龄为(45±4.67)岁;中医师比例最高(47.54%),其次是全科医师(34.43%),公共卫生医师比例最低(18.03%),且3类医师的比例的差异无统计学意义(P>0.05);门(急)诊服务量中内科比例最大,占65.03%,其诊疗费用清单中显示主要以门诊用药为主,检查费用约占总诊疗费用的30%;常规医疗设备配置率分别为67.28%、53.63%、84.15%;基本药物配置量分别约占本单位所用药物总数的33.08%、29.21%、23.49%。结论:政府要重视基层医疗卫生机构中医药人才的培养与引进,提高设备利用率,适当放宽基本药物种类限制,加大政府对中医药财政投入,加强基层医疗卫生机构信息化管理水平。

OBJECTIVE： To provide referefice for the healthy and stable development of primary hospitals with TCM character- istics. METHODS： 3 township health centers from Mianyang city were investigated and analyzed by questionnaire survey and inter- view in terms of staff and structure, essential medicine and medical equipment. RESULTS： 3 questionnaires were sent out, and 3 valid ones were recovered with effective recovery rate of 100%. The primary title took up the greatest proportion in 3 hospitals, mainly including nurses and medical technicians, accounting for 78.45%. The average age of medical staff with middle title was （45 ＋ 4.67） year-old; TCM physicians occupied the highest proportion （47.54%）, followed by general physicians （34.43%） ; pub- lic health physicians occupied the lowest proportion （18.03%）, and there was no statistical significance in the proportion of 3 types of physicians （P〉0.05）. The amount of outpatient （emergency） consultation services occupied the largest proportion in internal medicine department, accounting for 65.03%; treatment costs were mainly outpatient treatment, and 30% were inspection fees; the rate of routine medical device accounted for 67.28%, 53.63%, 84.15%, respectively. Essential medicine accounted for about 33.08%, 29.21% and 23.49% of total amount of drugs. CONCLUSIONS： Great importance should be attached to the training and introduction of TCM talents in primary medical institutions. At the same time, the government should improve the utilization of equipement, loosen up essential medicine limit appropriately, increase financial investment and strengthen the information manage- ment of medical institution.