广州市医务工作者对新型中西医协同治疗管理体系建设的态度分析

Analysis on Attitudes of Guangzhou Medical Workers Toward Construction of New Chinese and Western Medicine Collaborative Treatment Management System

目的:了解广州市医务工作者对新型中西医协同治疗管理体系建设的态度。方法:2022年1—12月采用多阶段抽样法选取广州市10个区50家医疗机构1 184名医务工作者作为调查对象,均给予自制问卷调查,调查其对新型中西医协同治疗管理体系建设的态度。记录调查结果。结果:1 184名医务工作者中,985人(83.2%)赞同大力推进中西医结合的合作项目,798人(67.4%)赞同政府对中西医结合治疗的投入与支持逐渐加大,783人(66.1%)认为患者对中西医结合治疗的接受程度高、需求量大。783人(66.1%)在临床诊疗工作中会考虑中西医结合治疗,477人(40.3%)认为各医疗机构大部分运用了中西医结合治疗方案和专家共识,575人(48.6%)赞同中医与西医诊疗模式的不同导致中西医结合诊疗开展的难度较大,510人(43.1%)认为中医执业医师或中西医结合执业医师经培训后可以在西医医院执业的政策已经落地,508人(42.9%)赞同中西医结合高层次人才培养难度大,792人(66.9%)赞同组建中西医结合多学科诊疗团队,799人(67.5%)赞同医院开展中西医协同联合查房模式,835人(70.5%)赞同开展中西医科研项目的合作,829(70.0%)赞同中、西医院联合培养高层次的中西医结合人才。524人(44.3%)对所在单位中西医结合诊治执行情况满意,1 007人(85.1%)认为中西医结合治疗的临床疗效显著/比较显著,493人(41.6%)赞同中西医结合治疗可以减少患者的总体医疗费用,538人(45.4%)认为中西医结合治疗慢性非传染性疾病最能发挥临床优势,576人(48.6%)认为中西医结合治疗疾病的优点为整体治疗,改善预后。480人(40.5%)认为中西医结合临床培训模式存在的最突出问题是中西医结合临床实践基地少,484人(40.9%)认为最能促进中西医结合科研学术发展的方法是重视中医专家带教作用、完善高质量中西医结合人才培养体系,605人(51.1%)认为最能促进中西协同规范化建设、发展的措施是加强建设中西医协同治疗的管理体系,加强建设重大慢性病、传染性疾病的中西医结合防治体系。结论:广州市大部分医务工作者对中西医协同治疗的接受度、认可度高,但在人才培养方面仍存在一定问题,未来应重视中医专家带教作用、完善高质量中西医结合人才培养体系,同时加强建设中西医协同治疗的管理体系以及重大慢性病、传染性疾病的中西医结合防治体系,深入推动中西医协同治疗管理体系建设。

Objective:To understand the attitudes of medical workers in Guangzhou City towards the construction of a new Chinese and Western medicine collaborative treatment management system.Methods:From January 2022 to December 2022,a total of 1184 medical workers from 50 medical institutions across 10 districts in Guangzhou City were selected using a multi-stage sampling method as the survey respondents.All medical workers were surveyed by using a self-made questionnaire to survey their attitudes toward the construction of a new Chinese and Western medicine collaborative treatment management system.The survey results were recorded.Results:Among the 1184 medical workers,985 cases(83.2%)agreed that the cooperative program of combining Chinese and Western medicines should be vigorously promoted;798 cases(67.4%)agreed that the government gradually increases the investment and support for integrated traditional Chinese and Western medicine treatment;783 cases(66.1%)believed that integrated traditional Chinese and Western medicine treatment is well accepted and widely needed among patients.783 cases(66.1%)would consider integrated traditional Chinese and Western medicine treatment in clinical diagnosis and treatment;477 cases(85.1%)believed that most of the medical institutions have used integrated traditional Chinese and Western medicine treatment plans and expert consensus;575 cases(48.6%)agreed that the difference in the diagnosis and treatment mode between traditional Chinese medicine and Western medicine makes it difficult to carry out the integrated traditional Chinese and Western medicine diagnosis and treatment;510 cases(43.1%)believed that the policy that traditional Chinese medicine practitioners or practitioners of integrated traditional Chinese and Western medicine can practice in Western medicine hospitals after training has been implemented;508 cases(42.9%)agreed that it is difficult to cultivate high-level talents of integrated traditional Chinese and Western medicine;792 cases(66.9%)agreed to establish a multidisciplinary team of integrated traditional Chinese and Western medicine diagnosis and treatment;799 cases(67.5%)agreed to carry out the mode of Chinese and Western medicine collaborative joint ward rounds in hospitals;835 cases(70.5%)agreed to carry out the cooperation of traditional Chinese medicine and Western medicine scientific research projects;829 cases(70.0%)agreed to co-cultivate high-level talents of integrated traditional Chinese and Western medicine by traditional Chinese medicine hospitals and Western medicine hospitals.524 cases(44.3%)are satisfied with the implementation of integrated traditional Chinese and Western medicine diagnosis and treatment in their institutions;1007 cases(85.1%)believed that the clinical efficacy of integrated traditional Chinese and Western medicine treatment is significant/relatively significant;493 cases(41.6%)agreed that integrated traditional Chinese and Western medicine treatment can reduce the overall medical cost of patients;538 cases(45.4%)believed that integrated traditional Chinese and Western medicine treatment of chronic non-communicable diseases can give full play to clinical advantages;576 cases(48.6%)believed that the advantages of integrated traditional Chinese and Western medicine treatment of diseases are holistic treatment and prognosis improvement.480 cases(40.5%)believed that the most prominent problem in clinical training mode of integrated traditional Chinese and Western medicine is lack of clinical practice bases of integrated traditional Chinese and Western medicine;484 cases(40.9%)believed that the most effective way to promote scientific research and academic development of integrated traditional Chinese and Western medicine is to emphasize on the teaching role of traditional Chinese medicine experts and to improve the high-quality talent training system of integrated traditional Chinese and Western medicine;605 cases(51.1%)believed that the most effective measures to promote the standardization construction and development of integrated traditional Chinese and Western medicine collaboration are to strengthen the construction of Chinese and Western medicine collaborative treatment management system,and strengthen the construction of integrated traditional Chinese and Western medicine prevention and treatment system for major chronic diseases and infectious diseases.Conclusion:Although the majority of medical workers in Guangzhou City have a high acceptance and recognition of Chinese and Western medicine collaborative treatment,there are still problems in the training of talents.In the future,it is necessary to emphasize on the teaching role of traditional Chinese medicine experts,improve high-quality talent training system of integrated traditional Chinese and Western medicine,strengthen the construction of Chinese and Western medicine collaborative treatment management system and the construction of integrated traditional Chinese and Western medicine prevention and treatment system for major chronic diseases and infectious diseases,and profoundly promote the construction of Chinese and Western medicine collaborative treatment management system.