Chinese medicine practitioner turnover rate and the development of Chinese medicine in Hong Kong,China

Objective:To establish that the Hong Kong Special Administrative Region(HKSAR)government is actively promoting Chinese medicine(CM)and to examine turnover rate of Chinese medicine practitioners(CMPs)in Hong Kong,China in light of this governmental push.Methods:This study covered two major areas:reviewing CM development in Hong Kong,and assessing the turnover rate of CMPs in Hong Kong.The first part of the paper is a historical review.The investigation of turnover rate had two sections.Section 1,quantitative method,involved online questionnaires;Section 2,qualitative method comprised interviews with CMPs from different types of CM clinics to ascertain the reasons for the turnover among CMPs.Results:A total of 123 online questionnaires were received in Section 1(55 from male CMPs;66 from female CMPs;2 respondents were unwilling to disclose their sex).The proportion of CMPs who had resigned in 2018e19 was 22.8%(28),of whom 5.7%(7)had resigned twice in one year.The rates of resignation in 3 years and 5 years were up to 40.7%(50)and 56.9%(70),respectively.Six CMPs were interviewed in Section 2.Young CMPs were more likely to resign than seniors.The large gap between actual salary and expectations appeared to be the main reason for the high rate of resignation.Conclusion:HKSAR government keenly desires to promote CM in Hong Kong,however,high turnover rate of CMPs was detected even under this positive governmental support.There is an urgent need to conduct a more representative study of the reasons for the inclination of CMPs in Hong Kong.The study highlights an important issue in CM development,and these results should remind different stakeholders in the CM industry and the government that CMPs need better career prospects and support in various areas.

Integrating traditional Chinese (herbal) medicines into risk based regulation-With focus on non-clinical requirements to demonstrate safety

Within the public health sector of Hong Kong(China),there is a consensus around the important role of traditional Chinese medicines.For Hong Kong(China)to play a bridging role to bring Chinese medicines to the global market requires a concerted effort from the government,academic institutes and industries.The release of the final version of the European Medicines Agencies guidance document,which details the acceptance of minimum requirements to nonclinical package in bibliographical applications,grants the opportunity for well-established and traditional herbal medicines to demonstrate an‘acceptable safe’status for registration in the European Union.It is anticipated that this minimum nonclinical package can be applied to demonstrate the safe use of many traditional Chinese medicines regardless of their eligibility to be registered under the simplified procedure within the European Union.This paper conceptualizes an integration of a simplified evaluation route for eligible proprietary Chinese medicines(pCm)with long history of use into the existing drug regulatory framework in Hong Kong(China).Such integration utilizing the minimum nonclinical package,based on bibliographical data or expert report,as proof of evidence to demonstrate safety for pCm with long history of use requires less demand in scientific resources.With Hong Kong(China)conducting‘first hand’review for eligible pCm,it provides an option for overseas and local pharmaceutical companies to register their products in Hong Kong(China)without the need to rely on issuance of Certificate of Pharmaceutical Product from other countries.This could bring eligible pCm with long history of use to reach international risk-based standard and to be marketed globally as‘medicines’to reach their full therapeutic potential.An important process to positioning Hong Kong(China)to compete with other countries in promoting importation and exportation of pCm to better serve the global health.

香港地区中医执业资格考试之现况与改革建议

目前国家把中医药传承发展需要的中医临床合格人才作为中医执业资格考试的目的。通过香港地区、内地(大陆)与台湾地区三地执业资格考试现况的比较,从中医发展现况、国家中医人才需求及本地中医业界意见等入手探讨香港地区的中医执业资格考试制度。结论是因目前所需的中医人才在中医思维、经典与临床实践能力都有较高的要求,故执业资格考试亟需在目的、内容、方式、参加资格与课程要求等方面做相应改革,并结合有系统的中医人才培训计划及资历架构以提升中医专业素质,另建议设立“香港中医专业学院”以进行执业资格考试的相关改革事宜。

Evolution of the registration regulations for proprietary Chinese medicines in China

In this review, we provide a comprehensive overview on the registration of proprietary Chinese medicines(PCMs) in China over the past century by examining published literature and historical data. We will examine this evolving administrative practice for PCMs registration in China, which is divided to the following five stages:(1) initial measures(1915-1948);(2) early development(1949-1965);(3) provincial approval and trial implementation of the "approval number" system(1966-1984);(4) legislation and cleanup(1985-1999); and(5) centralized national approval(2000 until now), offering a panoramic view on the characteristics of PCMs registration management in China.

高质量共建“一带一路”倡议下粤港澳大湾区中医药服务贸易发展的优化路径研究

中医药服务贸易是大湾区打造中医药国际化高地与共建“一带一路”的重要支撑。在大湾区中医药服务贸易日渐“出海”的趋势推动下,湾区中医药服务贸易发展呈现诊疗场景数智化、新业态持续涌现、服务平台不断充实的特征。但其发展仍受服务基础弱、竞争环境严峻,统计数据精细化程度不够高,海外中医药建设市场化不足等瓶颈制约。故本文在高质量共建“一带一路”背景下,以“传承-创新-融合-国际化”的4i路径为主线,传承层面:应强化资源承接,凝聚中医药服务供给向心力;创新层面:应坚持数智化赋能,构筑产融互通的健康产业生态圈;融合层面:应把握“融合”主旋律,传递互鉴共赢的发展经验;国际化层面:应依托“一带一路”倡议,打造中医药服务贸易“湾区品牌”。为大湾区中医药服务贸易进一步开放融合发展,深入践行“一带一路”倡议提供优化路径参考。

台港澳地区本科生中医妇科学课程思政现状调查研究

目的台港澳地区中医专业学生是中医药学本科生中重要且特殊的群体,对其进行课程思政教育对实现祖国统一、培养合格的社会主义医学人才具有重要意义。方法为探寻该学生群体中医妇科学课程思政实施现状,文章通过问卷星,以问卷调查的形式进行调查研究。结果台港澳地区中医专业本科生对于课程思政认知不明确,其中医妇科学课程思政尚处于起步阶段。结论文章针对存在问题提出解决策略,为今后进一步推动台港澳地区中医专业本科生中医妇科学课程思政建设提供思路。

Integrating traditional Chinese medicine into mainstream healthcare system in Hong Kong,China——A model of integrative medicine in the HKU-SZ Hospital

The European Congress for Integrative Medicine 2015 Global Summit on Integrative Medicine and Healthcare in Greater Copenhagen has successfully promoted integrative medicine to the public once again. Integrative medicine, which is called the art and science of healthcare by Nordic Integrative Medicine, has been widely used in the world. In Hong Kong, integrated traditional Chinese and Western medicine, which is also known as the Chinese version of integrative medicine, provides a valuable reference for the development of integrative medicine in the world. In this article, we introduce the development of traditional Chinese medicine in Hong Kong and an integrated traditional Chinese and Western medicine model in the University of Hong Kong-Shenzhen Hospital.

The 7th Pong Ding Yuen International Symposium on Traditional Chinese Medicine cum the 10th Anniversary of the Full-time Bachelor of Chinese Medicine Programme Was Successfully Organized by the School of Chinese Medicine,the University of Hong Kong

The School of Chinese Medicine, the University of Hong Kong has organized the 7th Pong Ding Yuen International Symposium on Traditional Chinese Medicine cum the 10th Anniversary of the Full-time Bachelor of Chinese Medicine Programme on 1 December, 2012, and 2 December, 2012, in Li Ka Shing Faculty of Medicine, the University of Hong Kong.

中医基础课程3×3教学模式的构建与探索——以中医各家学说课程为例

中医各家学说是中医基础课程中的临床基础课,对学生中医思维模式的培养和能力的提高具有重要意义。课程教学团队在“粤港澳高校中医药基础课程教育联盟”基础上,更新教育教学理念、整合课程内容体系,探索构建了全过程贯穿式、全方位多元化、多层次递进式的中医基础课程3×3教学新模式。从教育现状、课程建设、新模式的内涵和实施方案等方面介绍3×3教学模式,以期为其他中医基础课程提供借鉴。

粤港澳大湾区中医药健康产业高质量发展研究

目的:基于新发展理念,定量测度粤港澳大湾区中医药健康产业高质量发展水平。方法:从五大维度建立评价指标体系,对粤港澳大湾区中医药健康产业高质量发展水平进行评价,并运用聚类分析法进行梯队分类。结果:粤港澳大湾区中医药健康产业高质量发展水平存在明显差异,可以分为四个梯队。第一梯队是广州,第二梯队是香港地区和深圳,第三梯队是澳门地区、佛山、珠海和中山,第四梯队是东莞、惠州、江门和肇庆。结论:针对四类地区,因地制宜分别提出中医药健康产业高质量发展的有效措施。

针对香港地区2021年秋冬季COVID-19的趋势预测及中医防治建议

该研究以中医传统智慧—五运六气理论为依据,选择香港地区2020年1月18日(首例报告时间)—2021年8月31日COVID-19(corona virus disease 2019)的报告发病数据,及近30年的气象数据[即平均气压(hpa)、平均气温(℃)、最高气温(℃)、最低气温(℃)、平均相对湿度(%)、平均云量(%)、平均风速(km/h)、总雨量(mm)、总日照(h)共9项气象要素的日均值]。采用Logistic生长模型和指数平滑预测法,对2021年秋冬季(即9月1日-12月31日,含处暑、白露、秋分、寒露、霜降、立冬、小雪、大雪、冬至共九个节气)的COVID-19发病与气象变化情况进行预测。结果发现:今年秋季的白露节气(9月7日—9月22日)以及冬季的小雪—大雪节气(11月22日—12月20日)为香港地区COVID-19可能出现波动的两个时段。其中,脾虚湿胜及阳虚体质的人群尤应加强防护,中医推荐药物、针刺、艾灸、食疗等综合疗法进行早期预防及治疗。

融合视角下粤港澳大湾区中医药人才体系建设探究

人才链是粤港澳大湾区中医药服务体系构建的核心环节之一。在区域协同发展的背景下,湾区中医药人才链具备教育体系覆盖广、各级政策服务支撑保障到、岭南中医药文化传承创新效果好的特点。但仍然面临总体中医药人力资源匮乏,融合过程中教育链未能贯通,教学合作机制不够深入,中医药人才互认互通机制及市场互聘体系有待优化,民生保障等社会问题是人才跨境衔接的首要难题等困境。因此本文基于融合视角,聚焦“引育用留”服务链条,为营造“近悦远来”人才发展环境,促进粤港澳大湾区中医药融合发展的人才体系建设提出针对性的对策建议。

面向新医科建设的中药药剂学教研室四能模式的构建

作为学校最基层的教学组织和科研单位,教研室存在组织形式、管理制度、教研协同以及队伍建设等方面的问题。面向新医科建设,中药制药教研室进行中药制药基层教学组织的建设探索,优化资源配置的职能建设,制度管理加强的效能建设,持续师资培养的潜能建设,教研共同体构建的动能建设。省级课程教研室通过4年期建设,形成多元发展、充满活力、适应需求、成效显著的建设目标,为粤港澳大湾区中医药创新服务体系提供智力支撑和技术支持。

粤港澳大湾区中医药国际传播思路探讨

国家发展战略区粤港澳大湾区以得天独厚的条件为中医药国际传播构建了重要的推广平台,然而,由于各种因素影响,中医药在此区域有其岭南地域特殊性,世界各国人民所处地理气候环境及生理方面亦存在多样性差异,需重新思考中医药国际传播可能遇到的困难和解决方法。本文通过分析粤港澳大湾区中医药国际传播优势及不足,提出从中医状态辨识、立足源头传播及借助现代科技3方面推进中医药在粤港澳大湾区的国际传播,希冀以此地为突破口,以动态、个性化的方式应对中医药在国际传播中可能遇到的问题。

中医护理技术在国际交流生及港澳护理本科生临床教学中的应用

目的探讨中医教学结合临床实践的方法及效果。方法将2013-2016级本科护理学国际交流生及港澳学生共90人随机分为对照组和观察组。对照组采用常规讲授的传统教学方法,以见习为主;观察组采用讲解、演示、学生动手教学方法。结果观察组理论和实践考核成绩均优于对照组(P<0.05),观察组92.7%~97.3%的学生认为讲解、演示、学生动手及讲授体会的授课方法效果好,满意度高,对学习中医护理技术热情高,同时可提高综合运用知识的能力。结论讲解、演示、学生动手授课方法可提高学生对中医护理技术学习的热情,学生满意度高。

我国港台地区社会办中医的经验借鉴

在近代,我国港台地区的社会办中医是中医医疗机构的主要力量,发展态势健康,其良好的制度与开放的方式值得大陆学习借鉴。通过对我国港台地区卫生行政部门的网页和CNKI等数据库的文献资料的收集分析,获得港台地区社会办中医的实际经验数据。港台地区的社会办中医管理以其宽松的备案注册制度、传统中医治疗方法控制、中医师继续教育制度和自由透明的定价等特色,对社会办中医采取宽进严管的管理制度,形成了良好健康的发展势态。

中成药上市后再评价的现状、挑战与展望

本文检索近十年中成药上市后进行的临床研究,尤其是在SCI杂志上发表的高质量临床研究,回顾目前注册中成药中进行上市后再评价现状及与国际接轨的情况。列出目前中成药进入国际市场存在的问题,并以FDA、加拿大及欧盟对于植物药及草药的注册要求来详细陈述,指出中成药上市后再评价的必要性及未来的发展趋势。

香港中西医结合研究生培养模式的创新研究

阐述了香港特区培养中西医结合专业研究生的特点,认为香港特区对中西医结合专业研究生的教育具有学术要求严格、全英文教学、执业要求规范的特点,而我校中西医结合专业的教学具有理论知识完善、PBL教学模式、重视临床实践的特点,对于来内地深造的香港研究生应采用双语教学、将中西医比较学习、个性化培养、注重培养学生的科研及临床操作能力的创新培养模式,可更好的满足香港地区对中西医结合专业研究生的相关要求。

粤港澳大湾区背景下中西医临床医学专业引领计划建设方案--以南方医科大学为例

随着国家新医改政策推动大健康产业发展,粤港澳大湾区国家战略部署建设的积极推进,综合医科大学中西医临床医学专业必须与时俱进,优化中西医临床医学专业建设,培养符合国家发展需要的中西医临床医学人才。南方医科大学位于粤港澳大湾区,作为广东省本科高校中西医结合类专业教学指导委员会主任委员单位,提出中西医临床医学专业引领计划建设方案,在创新培养机制、优化师资队伍、教学基地建设、健全质量保障体系等方面积极改革,力争打造具有鲜明粤港澳大湾区特色的中西医临床医学专业。