社区中医卫生服务治理:现实样态、发展进路和创新转向

Governance of Community TCM Health Service: Realistic Pattern,Development Route and Innovation

现阶段,在社区中医卫生服务中还存在中医"治未病"理念推广形式化、中医卫生服务非专业化、中医适宜技术发展工具化等问题。社区中医卫生服务治理的发展进路在于:通过调整基本中医卫生服务价格、抓实中医适宜技术的规范化培训、建立中医适宜技术推广评价体系和积极推进中医药科研成果转化,来建立中医适宜技术推广应用长效机制;通过鼓励开展中医养生保健科普活动、促进中医药文化宣传和开展中医养生特色服务,来推进社区中医健康教育服务专业化;通过引入中医健康体检、加强基层中医慢病管理和关注重点人群的中医药保健,来形成个性化的中医健康干预策略。推动社区中医卫生服务智慧化发展并坚持中医扶持政策的民生导向,则成为社区中医卫生服务治理的创新转向。

At the present stage,there are still some problems in the community TCM health services,such as the formalization of the promotion of the concept of "preventive treatment of disease" in TCM,the non-specialization of TCM health services, and the instrumentalization of TCM appropriate technology development. The development path of community TCM health service governance is to establish a long-term extension about application of TCM appropriate technology by adjusting the price of basic TCM health service,implementing standardized training of TCM appropriate technology,establishing an evaluation system for TCM appropriate technology promotion,and actively promoting the transformation of TCM scientific research results;and promote the professionalization of TCM health education services in the community by encouraging popularization activities of TCM health care,promoting TCM culture propaganda and carrying out TCM health care characteristic services;and form a personalized TCM health intervention strategy by introducing TCM health examinations,strengthening grassroots TCM chronic disease management and focusing on TCM for key groups Health car. Promoting the intelligent development of community TCM health services and adhering to the livelihood orientation of TCM support policies has become an innovative turn for community TCM health service governance.