中医医院开展卫生技术评估的现况调研

Current Situation of Health Technology Assessment in Traditional Chinese Medicine Hospitals

目的:了解中医医院相关从业人员对医院卫生技术评估的认知度,评估需求及未来发展制约因素和建议,为未来提供参考。方法:以中医医院相关从业人员为调查对象,采用方便抽样的方法,问卷包括4个维度,39道题目,通过“问卷星”发放,应用SPSS软件进行分析。结果:共回收244份;在认知度调查中,有137人非常了解医院卫生技术评估;不同职业人员认知度差异不明显(F=0.251,P=0.778),港澳台地区的认知度较其他地区低;需求调研中,有127人认为未来非常有必要开展中医医院开展卫生技术评估;中成药、中药饮片(5.91)及中医适宜技术的评估(5.57)优先度得分较高;卫生技术的有效性(235人),安全性(224人)需求较高;缺乏专门的部门组织和规范的评估流程体系及人才能力建设不足被认为是未来发展影响较大的制约因素。结论:中医医院开展卫生技术评估的利益相关者对医院卫生技术评估(HB-HTA)具有一定认知度,大多数人认为将来有必要在中医医院开展HB-HTA的活动,但可能面对组织体系及制度的缺失和人才匮乏等挑战,需要一定的国家政策支持。

Objective:This study aims to understand the recognition of practitioners in traditional Chinese medicine(TCM)hospitals on hospital-based health technology assessment(HB-HTA),assessment needs,challenges,and suggestions,so as to provide references for the future work.Method:The convenient sampling method was adopted to survey the relevant practitioners in TCM hospitals.The questionnaire included 39 questions in 4 dimensions and was distributed through the online platform Weijuanxing.Result:A total of 244 questionnaires were recovered,and the obtained data were analyzed in SPSS.The results showed that 137 practitioners were very familiar with HB-HTA and there was no significant difference in the recognition of practitioners in different occupations(F=0.251;P=0.778).The practitioners in Hong Kong,Macao,and Taiwan had lower recognition than those in other regions.In terms of the assessment needs,127 practitioners believed that it was very necessary to carry out HB-HTA in TCM hospitals in the future.Chinese patent medicines/Chinese herbal medicine decoction pieces(5.91)and TCM appropriate technology(5.57)had higher assessment priority scores.The assessment needs were high for the effectiveness(235 practitioners)and safety(224 practitioners)of health technology.The lack of specialized organization and standardized evaluation process system and the shortage of talents were considered to be the major challenges for the future development in this field.Conclusion:The stakeholders carrying out the health technology assessment in TCM hospitals had certain awareness of HB-HTA.Most practitioners believed that it was necessary to carry out HB-HTA in TCM hospitals in the future,while the work might face challenges such as the lack of organizations and system and the shortage of talents,which requires policy support.