上海市社区医务人员中医“治未病”认知现状及政策建议

Cognitive Situation of and Policy Suggestions for TCM " Preventive Treatment of Disease" Among Community Health Worker in Shanghai

目的了解上海市社区医务人员对中医"治未病"的认知现状,并提出政策建议。方法于2014年12月—2015年1月,在上海市黄浦区10个社区卫生服务机构中随机抽取在岗医师430名。采用自行设计的《上海市黄浦区社区医务人员中医"治未病"认知与发展调查问卷》对医务人员进行调查,主要内容包括医务人员一般资料、医务人员对中医"治未病"认知情况、医务人员的中医"治未病"知识和技能现状等,共回收有效问卷403份。结果403名社区医务人员中,346名(85.9%)听说过中医"治未病",352名(87.3%)能正确理解中医"治未病"概念,276名(68.5%)认为实施中医"治未病"有必要,136名(33.7%)对实施中医"治未病"有信心,169名(41.9%)对中医"治未病"实施现状满意。不同职称及不同中医"治未病"理解程度、必要性认识、实施信心社区医务人员的中医"治未病"知晓率比较,差异有统计学意义(P<0.05);不同中医"治未病"知晓情况、必要性认识、实施信心及满意度社区医务人员的中医"治未病"理解程度比较,差异有统计学意义(P<0.05);不同性别、学历、岗位、职业及不同中医"治未病"知晓情况、理解程度、实施信心、满意度社区医务人员的中医"治未病"必要性认识比较,差异有统计学意义(P<0.05);不同性别、岗位、职业及不同中医"治未病"必要性认识、满意度社区医务人员的中医"治未病"实施信心比较,差异有统计学意义(P<0.05);不同职业及不同中医"治未病"必要性认识、实施信心社区医务人员的中医"治未病"满意度比较,差异有统计学意义(P<0.05)。结论上海市社区医务人员的中医"治未病"知晓率、概念正确理解率及必要性认识均较高,但信心持有率和满意度较低,不同情况社区医务人员的中医"治未病"认知情况不同。建议有针对性开展中医"治未病"继续教育和技能培训。

Objective To investigate the cognitive status and policy recommendations of TCM ＂ preventive treatment of disease＂ among community health workers in shanghai. Methods From December 2014 to January 2015,we enrolled 430 in-service physicians from 10 community health service settings in Huangpu District of Shanghai. Using self-administrated questionnaire about the cognition and development of TCM ＂ preventive treatment of disease＂ among community health workers in Huangpu District in Shanghai,we conducted survey on included health workers. The content of the questionnaire included general data of the subjects and their cognition on TCM ＂ preventive treatment of disease＂. A total of 403 effective questionnaires were collected. Results Among 403 social health workers,346（ 85. 9%） had heard about the TCM ＂ preventive treatment of disease＂,352（ 87. 3%） had a correct understanding about the concept,276（ 68. 5%） thought it was necessary to implement TCM ＂ preventive treatment of disease＂,136（ 33. 7%） had confidence in the implementation of TCM ＂ preventive treatment of disease＂,and 169（ 41. 9%） were satisfied with the implementation of TCM ＂ preventive treatment of disease＂. Health workers with different technical titles,different understanding levels of the concept,different cognition levels of its necessity and different confidence levels in its implementation were significantly different in the awareness rate of the concept（ P 〈0. 05）; health workers with different awareness rate of the concept,different cognition levels of its necessity,different confidence levels in its implementation and different satisfaction degrees were significantly different in the understanding level of the concept（ P 〈0. 05）; health workers with different genders, educational levels, posts and occupations, different awareness levels and understanding levels of the concept, different confidence levels in its implementation and different satisfaction degrees were significanlty different in the cognition of its necessity（ P 〈0. 05）; health workers of different genders,posts and occupations,different cognition levels of the concept and different satisfaction degrees were significantly different in the confidence in its implementation（ P 〈0. 05）; health workers of different occupations, different cognition levels of its necessity and different condidence levels in its implementation were significantly different in the satisfaction degree with TCM ＂ preventive treatment of disease＂（ P 〈0. 05）. Conclusion Shanghai communmity health workers have high awareness rate,high understanding rate and high cognition rate of TCM ＂ preventive treatment of disease＂,while they have low confidence and satisfaction degree with it. Health workers with different conditions are different in cognition levels of the concept. We suggest that continuing education and skill training about TCM ＂ preventive treatment of disease＂ should be carried out with clear objectives.