眉山市基层医疗机构中医适宜技术应用现状调研及发展对策研究

Application of TCM Appropriate Technology in Primary Health Institutions in Meishan City: Status Quo and Countermeasures

摘要: 目的：系统调查眉山市基层医疗机构中医适宜技术的应用现状、推广难点及培训需求，为提升区域基层中医药服务能力、优化技术推广体系提供实证支撑。方法：采用问卷调查法，对眉山市576名基层医务人员(涵盖乡镇卫生院、社区卫生服务中心、村卫生室)开展电子问卷调研，运用Excel和SPSS软件进行数据统计分析。结果：眉山市基层中医适宜技术应用基础扎实，艾灸(96.01%)、针刺(94.79%)、推拿按摩(94.97%)等常规技术开展率超90%；大部分基层机构开展骨科相关中医适宜技术。但仍存在政策支持力度不足、患者认知度低、专业技术系统培训缺乏等问题。结论：眉山市基层中医适宜技术已形成“常规技术全覆盖、骨科技术有特色”的格局，但需通过强化政策保障、健全培训体系、加强宣传引导、打造骨科特色品牌等措施，促进基层中医适宜技术发展，推动基层中医药服务高质量发展。

Abstract: Objective: To systematically investigate the application status, promotion difficulties and training needs of traditional Chinese medicine (TCM) appropriate technologies in primary medical institutions in Meishan City, so as to provide empirical support for improving the regional primary TCM service capacity and optimizing the technology promotion system. Methods: A questionnaire survey was conducted among 576 primary medical staff in Meishan City (covering township health centers, community health service centers and village clinics) by electronic questionnaires. Data statistical analysis was performed using Excel and SPSS software. Results: The application foundation of TCM appropriate technologies in primary medical institutions of Meishan City was solid. The adoption rates of conventional technologies such as moxibustion (96.01%), acupuncture (94.79%) and Tuina massage (94.97%) all exceeded 90%. Most primary medical institutions carried out orthopedic-related TCM appropriate technologies. However, there were still some problems including insufficient policy support, low patient awareness, and lack of systematic professional and technical training. Conclusion: TCM appropriate technologies in primary medical institutions of Meishan City have formed a pattern of “full coverage of conventional technologies and distinctive features of orthopedic technologies”. To break through the development bottlenecks and promote the high-quality development of primary TCM services, it is necessary to take measures such as strengthening policy guarantee, improving the training system, enhancing publicity and guidance, and building characteristic brands of orthopedic technologies.