乡村医生中医药服务提供现状——以山东省烟台市为例

Current situation of Traditional Chinese Medicine service providing of rural doctors in Yantai City, Shandong Province, China

目的调查烟台市乡村医生中医药服务的提供现状,为进一步改善基层中医药服务能力提供决策支持。方法采用多阶段分层随机抽样的方法,在山东省烟台市选取3个样本县,对129名乡村医生开展问卷调查,应用SPSS 20.0软件进行描述性统计分析。结果调查发现108名乡村医生可以提供中医药服务,占比83.7%。56.5%的乡村医生中医适宜技术掌握数量≤3种,开展拔罐服务的乡村医生比例最高为71.3%,其次为推拿57.4%;68.5%的乡村医生不开中草药处方,56.5%的乡村医生所在村卫生室没有配备中药饮片,中药饮片配备数量≥51种的占9.2%,82.4%的乡村医生参与了公共卫生服务中的中医药健康管理项目。结论烟台市乡村医生中医适宜技术掌握数量少,村卫生室中药饮片配备种类有限,儿童中医药健康管理项目开展较少。

ObjectiveTo investigate the current situation of Traditional Chinese M edicine(TCM)service providing by rural doctors in Yantai City,Shandong Province,China and to provide support for the grass-roots medical and health system improving.Methods A multistage stratified random sampling method w as used to select 3 sample counties in Yantai City of Shandong Province to conduct a questionnaire survey among 129 rural doctors,and a descriptive statistical analysis w as conducted using SPSS 20.0 softw are.Results The survey found 108 rural doctors could provide TCM services,accounting for 83.7%.The number of appropriate TCM techniques mastered by 56.5%of the rural doctors is less than or equal to 3.The highest proportion of TCM services rural doctors providing w as cupping,counting 71.3%,follow ed by massage(57.4%).Sixty-eight point five percent of rural doctors did not prescribe Chinese herbal medicine,56.5%of village clinics w ere not equipped w ith Chinese herbal medicine slices,34.3%w ere equipped w ith 50-100kinds of Chinese herbal medicine slices,and 82.4%of rural doctors participated in the TCM health management project in public health services.Conclusion The number of appropriate TCM techniques mastered by village doctors in Yantai City is small,the types of Chinese Herbal Pieces in village health rooms are limited,and there are few TCM health management projects for children.