上海市社区医务人员中医“治未病”技术现状及对策建议

Status of and Policy Suggestions for TCM " Preventive Treatment of Disease" among Community Health Workers in Shanghai

目的了解上海市社区医务人员对中医"治未病"的技术现状,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,215名(54.8%)认为中医"治未病"知识和技能主要来源于继续教育,211名(52.4%)在工作中会使用中医"治未病"技术,254名(74.3%)认为中医"治未病"主要用途为预防保健,207名(51.9%)对自己的中医"治未病"理论知识感到满意,278名(69.3%)认为中医"治未病"技能有待提高,290名(72.0%)希望培养途径为继续教育和进修。近3年来,382名(94.8%)社区医务人员未接受过相关外出进修,329名(81.7%)未参加过相关学术会议,254名(63.0%)未参加过相关培训班,366名(90.8%)未参加过相关非学历教育。不同岗位、职业及不同中医"治未病"知晓情况、理解程度、必要性认识及实施信心社区医务人员的中医"治未病"技能使用情况比较,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"技术有待加强,建议大力推广中医"治未病"技术,加强相关继续教育和进修培训,提升医务人员自身服务能力和服务素养,同时开发适宜技术。

Objective To investigate the status of TCM ＂ preventive treatment of disease＂ skills among community health workers in Shanghai and put forward policy suggestions. Methods From December 2014 to January 2015,we randomly selected 430 in- service doctors from 10 community health service settings in Huangpu District in Shanghai. The self- designed questionnaire about the cognition on and development of TCM ＂ preventive treatment of disease＂ among community health workers in Huangpu District in Shanghai was used to conduct survey on included community health workers. The content of the questionnaire included general data,the cognition on TCM ＂ preventive treatment of disease＂,the mastery of knowledge and skills of TCM ＂ preventive treatment of disease＂. A total of 403 effective questionnaires were collected. Results Among 403 community health workers,215（ 54. 8%） thought that the knowledge and skills of TCM ＂ preventive treatment of disease＂ were mainly acquired from continuing education; 211（ 52. 4%） learned the skills from work; 254（ 74. 3%） thought the main purpose of TCM is preventive health care; 207（ 51. 9%） were satisfied with the relevant theoretical knowledge; 278（ 69. 3%）thought the skills of TCM ＂ preventive treatment of disease＂ need to be further improved; 290（ 72. 0%） hoped to receive relevant continuing education and training. In the past three years,382（ 94. 8%） community health worders didn＇ t received relevant cintinuing education and training; 329（ 81. 7%） hadn＇t participated in relevant academic conference,254（ 63. 0%）hadn＇t participated in relevant training class; 366（ 90. 8%） hadn＇t participated in relevant non- degree education. Community health workers with different posts and occupations, different awareness levels of TCM ＂ preventive treatment of disease ＂,different understanding degrees,different cognition levels of its necessity and different confidence levels in its implementation were significantly different in the usage of skills of TCM ＂ preventive treatment of disease＂（ P〈0. 05）. Conclusion The skills of TCM ＂ preventive treatment of disease＂ need to be further improved. We suggest the skills should be vigorously promoted,further education and training should be enhanced,the service ability of health workers should be improved,and appropriate skills should be developed.