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许仕杰,刘媛,张炅璐,林辉,王峥.广州市基层医疗卫生机构医生中医药服务能力自我评价调查研究[J].湖南中医药大学学报英文版,2023,43(4):735-739.[Click to copy
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| 广州市基层医疗卫生机构医生中医药服务能力自我评价调查研究 |
| 许仕杰,刘媛,张炅璐,林辉,王峥 |
| (广州中医药大学, 广东 广州 510006;中国中医药科技发展中心（国家中医药管理局人才交流中心）, 北京 100027) |
| 摘要: |
| 目的 探讨广州市基层医疗卫生机构医生中医药服务能力情况，通过医生的自我评价调查其中医药服务能力现状并分析存在的问题，为广州市基层中医药人才培养、服务能力提升提供参考依据。方法 对广州市22家基层医疗卫生机构进行问卷调查，在所选机构中随机选取550名基层医生发放调查问卷，回收有效问卷500份，回收率90.9%，通过调查问卷分析基层医疗卫生机构医生（下称“基层医生”）中医药服务能力现状。结果 问卷调查结果显示，以中医药专业为主的基层医生占比仅有19.4%，且超过64.4%的基层医生缺乏二甲、三甲医院的工作经历。自我评价的调查结果显示，仅有25.8%基层医认为对中医药相关知识及服务能力掌握较好，约有56.3%基层医生认为掌握一般，17.9%基层医生认为掌握较差。掌握程度较高的能力分别为刮痧类技术、拔罐类技术及中医药健康教育能力，而针刺类技术、骨伤类技术、中医微创类技术等需要较高技巧和临床经验的技术则掌握程度较差。结论 在广州市基层医疗卫生机构中，较好掌握中医药各种技术的医生数量偏少，基层医生在上级医院工作的临床经验缺乏，内部培养机制不完善。基层医生中医药基础知识和技能整体掌握不足，尤其是需要丰富临床经验的适宜技术掌握程度较差。中医药服务能力一般，非中医专业基层医生使用中医药各类技术受限。应进一步加强基层医生中医药队伍培养力度，提高基层医生的中医药基础知识、诊疗能力和适宜技术掌握程度，以提高基层医疗卫生机构的中医药服务能力和质量。 |
| 关键词: 基层医疗 卫生机构 中医药 服务能力 自我评价 |
| DOI：10.3969/j.issn.1674-070X.2023.04.026 |
| Received:June 21, 2022 |
| 基金项目:广东省教育厅研究生教育创新计划项目（2021JGXM032）；广东省教育厅教育科学规划课题（2021GXJK002）。 |
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| Self-assessment of TCM service competence of physicians at primary healthcare institutions in Guangzhou |
| XU Shijie,LIU Yuan,ZHANG Jionglu,LIN Hui,WANG Zheng |
| (Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, China;China Science and Technology Development Center for Chinese Medicine (Talent Exchange Center of State Administration of Traditional Chinese Medicine), Beijing 100027, China) |
| Abstract: |
| Objective To discuss the service competence of physicians at primary healthcare institutions in Guangzhou, to conduct a self-assessment survey of the current condition and to analyze the existing problems, so as to provide a reference for TCM talent training and to improve TCM service competence at primary healthcare institutions in Guangzhou.Methods A questionnaire survey was conducted among 500 physicians randomly selected from 22 primary healthcare institutions in Guangzhou. The current situation of TCM service competence of physicians in primary healthcare institutions.Results The questionnaire suggested that the physicians in primary healthcare institutions specialized in TCM accounted for only 19.4%, and more than 64.4% lacked working experience in secondary and tertiary hospitals. The self-evaluation showed that only 25.8% believed that they had a good command of TCM related knowledge and service ability, about 56.3% thought that they acquired the average level, and 17.9% knew little about TCM. The physicians of primary healthcare institutions in Guangzhou had good competence in scraping and cupping and health education about TCM. The survey revealed that physicians were less proficient in techniques that require high mastery of skills and clinical experiences such as acupuncture, bone injury, and minimally-invasive techniques.Conclusion In Guangzhou primary healthcare institutions, the doctors with a good grasp of various TCM techniques are relatively few, and they have less clinical experience in secondary and tertiary hospitals, and the hospital training mechanism is not complete. Basic knowledge and skills of Chinese medicine are not well mastered by the physicians, especially the acupuncture and bone injury that requires rich clinical experience. The service ability is generally lacking, and the use of TCM technologies by doctors of primary healthcare institutions is limited. More efforts should be taken to cultivate TCM majored talents, and the basic knowledge, diagnosis and treatment ability and appropriate technology of physicians in primary healthcare institutions can be improved, so as to improve the TCM service ability and quality of primary healthcare institutions. |
| Key words: primary healthcare healthcare institutions Chinese medicine service competence self-assessment |
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