摘要
目的调查四川省三级公立综合医院中西医协同建设现状,为进一步开展中西医协同工作提供参考。方法2024年1月-3月,对四川省28所三级公立综合医院的中西医协同基本情况、中医药服务能力建设与中医技术开展情况、中西医协同管理情况等进行问卷调查。采用SPSS 22.2软件对调查结果进行统计分析。结果53.57%的医院年门急诊中医诊疗人次集中在>1万人次~<4万人次,50.00%的医院年出院患者中医诊疗人次<1000人次,中医类别执业医师占全院医师中位比例为5.7%。中医门诊诊室面积最小的仅有10.00 m^(2),中医诊疗设备种类最少的仅有2种,约50%的医院中医优势病种数少于5种,中西医结合优势病种联合门诊数仅有1个,中医医疗技术最少的仅有5项,近60%的医院无中药制剂。仅18所(64.28%)医院成立工作领导小组推进中西医协同工作,针对中西医结合医疗实践和效果制订差别化绩效考核指标。20所(71.43%)医院建立了中西医联合查房模式和中西医结合分级诊疗服务体系,17所(60.71%)医院开展西学中人才培养教育,仅13所(46.43%)医院的非中医临床科室开展中医药类科研项目。结论四川省三级公立综合医院中西医协同建设工作仍需不断加强。未来需加强中西医协同服务能力建设,完善管理机制,创新中西医结合医疗模式,加大中西医结合人才培养力度,提升中医药临床科研能力。
Objective To investigate the current situation of collaborative construction of traditional Chinese and western medicine in tertiary public general hospitals in Sichuan Province,and to provide reference for the further development of collaborative work of traditional Chinese and western medicine.Methods From January to March 2024,a questionnaire survey was conducted on the basic situation of Chinese and western medicine collaboration,the construction of traditional Chinese medicine(TCM)service capacity and the development of TCM techniques,and the management of traditional Chinese and western medicine collaboration in 28 tertiary public general hospitals in Sichuan Province.SPSS 22.2 software was used for the statistical analysis of the survey results.Results 53.57%of the hospitals'annual outpatient and emergency visits of TCM diagnosis and treatment were concentrated in 10000 to 40000 person-times,and 50.00%of the hospitals'annual discharge of patients with TCM diagnosis and treatment were less than 1000 person-times.The median proportion of practitioners of TCM in the hospital was 5.7%.The smallest area of TCM outpatient clinic was only 10.00 square meters.The minimum number of types of TCM diagnostic and therapeutic equipment was only two.About 50%of the hospitals had less than five kinds of dominant diseases of TCM.There was only one combination of dominant diseases of TCM and Western medicine.The minimum number of TCM techniques is only five.Nearly 60%of the hospitals had no TCM preparations.Only 18(64.28%)hospitals established work leading groups to promote the collaborative work of traditional Chinese and western medicine,and formulated differentiated performance appraisal indicators for the medical practice and effect of integration of traditional Chinese and western medicine.20(71.43%)hospitals established the integrated traditional Chinese and western medicine ward round mode and the integrated traditional Chinese and western medicine hierarchical diagnosis and treatment service system.17(60.71%)hospitals carried out talent training education in western medicine,and only 13(46.43%)hospitals carried out scientific research projects of traditional Chinese medicine in non-traditional Chinese medicine clinical departments.Conclusion The collaborative construction of traditional Chinese and western medicine in tertiary public general hospitals in Sichuan Province still needs to be continuously strengthened.In the future,it is necessary to enhance the construction of collaborative service ability of traditional Chinese and western medicine,improve the management mechanism,innovate the medical model of integrated traditional Chinese and western medicine,increase the training of integrated traditional Chinese and western medicine talents,and improve the clinical scientific research ability of traditional Chinese medicine.
作者
冯柳
赵大仁
丁燕馨
曹勍
FENG Liu;ZHAO Daren;DING Yanxin(Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Affiliated Hospital of UESTC,Chengdu,Sichuan,610041,China;不详)
出处
《中国卫生质量管理》
2025年第1期37-42,共6页
Chinese Health Quality Management
基金
国家卫生健康委医院管理研究所课题——基于国家级中西医协同“旗舰”医院建设构建中西医协同医疗质量评价体系及应用研究(编号:YLZLXZ23G063)
国家卫生健康委医院管理研究所课题——基于国家级中西医协同“旗舰”医院建设构建中西医协同管理和医疗模式及示范(编号:YG2301)
2022年四川省医院协会医务管理分会青年项目(编号:SCYW033、SCYW039)。
关键词
中西医协同
中西医结合
“旗舰”医院
综合医院
四川省
Collaboration of Traditional Chinese and Western Medicine
Integration of Traditional Chinese and Western Medicine
"Flagship"Hospitals
General Hospitals
Sichuan Province
作者简介
通信作者:曹勍:四川省医学科学院·四川省人民医院(电子科技大学附属医院)医务部医政主管,E-mail:386956570@qq.com。
