居民对基层医疗卫生机构中医药服务需求的meta分析

Residents'demand for Traditional Chinese Medicine services in grassroots medical institutions:a meta-analysis

目的系统评价我国居民对基层医疗卫生机构中医药服务需求状况。方法在中国知网、维普期刊网、万方服务平台、中国生物医学数据库、PubMed、Cochrane Library、Medline、Embase、Science Direct中进行文献检索,收集从建库至2023年3月发表的关于居民对基层医疗卫生机构中医药服务需求的文献,采用Review Manager5.4软件进行meta分析,由研究性质与异质性结果选择固定效应模型或随机效应模型。结果经筛选,最后共纳入4篇中文文献,累计研究对象3280例。meta分析显示,居民总体中医药服务需求率为74%[OR=0.74,95%Cl(0.55,0.94)],中医药知识服务需求率为56%[OR=0.56,95%Cl(0.23,0.89)],中医药技术服务需求率为70%[OR=0.70,95%Cl(0.40,1.00)],中医药康复服务需求率为58%[OR=0.70,95%Cl(0.45,0.70)]。结论我国居民对基层医疗卫生机构提供的中医药服务以及各类细分服务存在较高的需求。

Objective To conduct a systematic evaluation of the residents'demand for Traditional Chinese Medicine(TCM)services in the Chinese grassroots medical institutions.Methods Literature was retrieved from multiple databases,including China National Knowledge Infrastructure(CNKI),CQVIP,Wanfang,China Biomedical,PubMed,Cochrane Library,MEDLINE,Embase,and Science Direct.Studieson the demand for TCM services by residents at grassroots medical institutions were collected from the inception of the databases up to March 2023.The meta-analysis was performed using the Review Manager 5.4 software.Depending on the characteristics and heterogeneity of the included studies,either a fixed-effect model or a random-effects model was employed for the analysis.Results A total of four Chinese-language articles were incorporated into the study,encompassing a cumulative sample size of 3,280 subjects.The meta-analysis revealed that the aggregate demand rate for TCM services was 74%[odds ratio(OR)=0.74,95%confidence interval(CI):0.55,0.94].More specifically,the demand rates for TCM knowledge services,TCM technical services,and TCM rehabilitation services were 56%(OR=0.56,95%CI:0.23,0.89),70%(OR=0.70,95%CI:0.40,1.00),and 58%(OR=0.70,95%CI:0.45,0.70).Conclusion Chinese residents exhibit high levels of demand for the TCM services and TCM subcategory services offered by grassroots medical institutions.