By 2025, community health service centers and traditional Chinese medicine centers in township health centers will achieve full coverage, and the grass-roots traditional Chinese medicine services will be more convenient
2022-06-17
To give full play to the unique advantages of traditional Chinese medicine in grass-roots health services, the role of traditional Chinese medicine museums should not be ignored. In March this year, the "fourteenth five year plan" of the project to improve the service capacity of grass-roots traditional Chinese medicine jointly issued by the State Administration of traditional Chinese medicine and other 10 departments proposed that by 2025, the community health service centers and the traditional Chinese medicine centers of township health centers should be fully covered, and the local governments with conditions should be encouraged to complete the construction of service connotation for 15% of the community health service centers and the traditional Chinese medicine centers of township health centers. How effective is the construction of grass-roots TCM museums? What are the experiences and practices worth learning from? Recently, the reporter walked into the grassroots TCM museums in Beijing, Jiangxi, Gansu and other places to find out. There is a medical school—— We will promote the construction of grassroots TCM museums and improve the TCM service network covering the grassroots "After decades of rheumatoid arthritis, I feel much better after eating traditional Chinese medicine for a month and a half. Thanks to the doctors in the traditional Chinese medicine center of the town health center, the prescriptions worked and saved money!" Lao Yang, a villager from Yangtang village, Yongtai Town, Zhangshu City, Jiangxi Province, said goodbye to the days when he slept on painkillers. His spirit was much better. Lao Yang's care and effort in seeing a doctor are saved, thanks to the vigorous promotion of the construction of grass-roots TCM centers in recent years. In October, 2019, Yongtai Town Health Center officially set up a traditional Chinese medicine center and began to receive external patients. According to Zhou Hong, director of the office of the health center, a total of more than 400000 yuan has been invested in the construction of the traditional Chinese Medicine Museum. It has been equipped with electric traction beds, traditional Chinese Medicine physique recognizers and other diagnosis and treatment equipment. It is equipped with two traditional Chinese medicine doctors, who can provide the masses with moxibustion, scraping, children's massage, cupping, acupuncture, prescription and other diagnosis and treatment services. It is said that traditional Chinese medicine is a silver needle, three fingers and a handful of herbs. The characteristics of "simplicity, convenience, efficiency and cheapness" and the advantages of "good curative effect and relatively low price" of traditional Chinese medicine are deeply welcomed by the broad masses of the grass-roots people. Zhaowenhua, deputy director of the medical administration department of the State Administration of traditional Chinese medicine, said that the strongest demand of the grass-roots people for traditional Chinese medicine services is to "see good traditional Chinese medicine and make it convenient to see traditional Chinese medicine". With the continuous improvement of people's health awareness and the rapid growth of demand for preventive services, traditional Chinese medicine has unique advantages in the health management of the elderly and children, as well as the prevention and treatment of chronic diseases such as hypertension and diabetes, and can play an important role at the grass-roots level. In recent years, China has vigorously promoted the construction of grass-roots TCM museums, improved the TCM service network covering the grass-roots level, and unblocked the "last mile" of TCM service for the grass-roots people. According to the data released by the State Administration of traditional Chinese medicine, by the end of 2020, there were 36300 grass-roots traditional Chinese medicine centers nationwide, and 85.4% of community health service centers and 80.1% of township health centers had set up traditional Chinese medicine centers. The accessibility of TCM services at the grass-roots level has been further improved. 99% of community health service centers, 98% of township health centers, 90.6% of community health service stations and 74.5% of village clinics can provide TCM services. When you walk into the traditional Chinese Medicine Museum of Yuntian Town Central Health Center in Longxi County, Gansu Province, the couplets and plaques hanging on the corridor wall create a rich cultural atmosphere of traditional Chinese medicine. The 600 square meter TCM Museum on the upper and lower floors is divided into five areas: TCM syndrome differentiation and treatment, TCM appropriate technology promotion, and Chinese herbal medicine processing. The professional departments are uniformly located on the second floor. The characteristic advantages and adaptive diseases are clearly marked in front of each department. In addition to traditional tools such as fumigation barrels, medicine brewing cans, moxibustion boxes, the indoor is also equipped with modern equipment such as traction beds, electroacupuncture instruments, wax therapy machines, etc. "Set up a relatively centralized TCM diagnosis and treatment area, so that the masses can 'one-stop' receive TCM services, reduce waiting time and avoid tossing and turning." Wangguodong, Secretary of the leading Party group and director of Longxi County Health Bureau, said that since 2013, the county has continued to invest in improving the environment for TCM diagnosis and treatment and promoting the construction of standardized TCM clinics. It is expected that the grass-roots TCM clinics will be fully covered by the end of the year. After the establishment of the TCM Museum, huanglifa, a second-class researcher of Nanchang Health Committee in Jiangxi Province, felt the obvious change: "in the past, residents trusted large hospitals more. Even if there was a community health service center at the door of their home, they would still go to large hospitals to see serious and minor diseases. Now, residents began to come to the TCM museum to diagnose and treat some minor and chronic diseases. The number of visits to the community health center increased a lot every year, which shared the pressure of large hospitals to a certain extent." With service—— Give full play to the characteristic advantages of traditional Chinese medicine and broaden the service field of traditional Chinese Medicine Recently, uncle Peng, who lives in Donghu District of Nanchang City, suffered from severe back pain and came to the traditional Chinese medicine center of tengwangge Community Health Service Center for treatment. Once acupuncture and moxibustion could not completely solve the problem, uncle Peng walked to the traditional Chinese Medicine Museum for several days to find a doctor for acupuncture. "The traditional Chinese medicine center is close to home, with good effect, reasonable price, and medical insurance." Convenience, cheapness and good effect are the common reasons for many patients to come to the TCM Museum. The registration fee for the TCM center of tengwangge community health service center is only 2 yuan. For basic TCM services such as acupuncture, it is 60 yuan each time. In the TCM Museum, acupuncture, massage, cupping, physiotherapy, thermal moxibustion, bone setting and other treatment projects are also carried out. "Arthritis, hospitalized for 7 days, the total cost is 1546 yuan, and the medical insurance reimbursement is nearly 1400 yuan." At the traditional Chinese medicine center in Yuntian Town, Longxi County, 68 year old Wang zhuanzhen stared at the list of hospitalization expenses. "We only pay more than 150 yuan?" After receiving her daughter's affirmative reply, Wang zhuanzhen smiled happily. Wang Feng, the president of the hospital, told the reporter that the relevant policies issued by the city and county have made it clear that the reimbursement ratio of hospitalization expenses can be increased by 10% and the actual reimbursement ratio can reach 90%, effectively reducing the medical burden of the masses. In order to give full play to the characteristic advantages of traditional Chinese medicine, various regions carry out traditional Chinese medicine services according to their own characteristics. In Zhangshu City, grassroots TCM clinics can provide health conditioning, TCM rehabilitation, acupuncture and moxibustion, Decoction and prescription services. "Zhangshu traditional Chinese medicine is most famous for its orthopaedics. Many traditional Chinese medicine doctors have mastered the technique of manual reduction, and many patients from inside and outside the province are attracted by it." Zoushaofang, head of the traditional Chinese Medicine Department of the Zhangshu Health Committee, said. "In recent years, we have made great efforts to build a general practice service model of traditional Chinese medicine, and constantly broaden the service field of traditional Chinese medicine. The TCM Museum has combined clinical diagnosis and treatment with the prevention and treatment concept of 'prevention before disease and prevention of changes in existing diseases', extended the exploration of the service mode of patrol diagnosis, done a good job in the health management of children, the elderly, pregnant women and patients with chronic diseases, and carried out a full cycle and all-round medical services for residents in the jurisdiction." Li Tao, director of Huayuan Road community health service center in Haidian District, Beijing, said that in 2021, the overall outpatient volume of the TCM center of the health service center reached more than 48000 person times, accounting for 25% of the outpatient volume of the center, and more than 240000 person times of acupuncture, moxibustion, physiotherapy and other TCM treatments. In addition, the health service center has also opened a health culture experience Hall of traditional Chinese medicine, which provides residents with dynamic, static and interactive experiences through physical exhibition and multimedia interaction, covering traditional Chinese medicine health preservation, traditional Chinese medicine knowledge, health self-test and other contents, carries out health knowledge popularization education, and creates a cultural atmosphere of traditional Chinese medicine. Talented—— Strengthen the construction of talent team and attract a group of TCM talents to serve the grass-roots level She is a professional doctor, cheerful and friendly... Zhangchunmei, a doctor of traditional Chinese medicine in Yuntian Town Central Health Center, has always been impressed by her patients. After graduating from University, zhangchunmei was admitted to Yuntian township health center and has been a doctor for 11 years. She has mastered more than 10 appropriate techniques of traditional Chinese medicine, such as acupuncture, cupping, scraping, etc., and is skilled in dealing with common diseases of the middle-aged and elderly. "The learning atmosphere in the health center is very strong, and we often exchange views together." Zhangchunmei said that in 2012, she was admitted to the correspondence undergraduate course of Gansu University of traditional Chinese medicine. "After the improvement of her education background, her salary has further increased. Now her annual income is nearly 60000 yuan, which has strengthened my faith in taking root at the grass-roots level and serving the masses." According to Wang Feng, the Health Center encourages the medical staff to improve their academic qualifications, and at the same time, it sends the backbone of traditional Chinese medicine business to medical institutions at or above the county level for further study, so as to continuously improve the TCM service ability of grass-roots medical staff. At present, the TCM Museum has formed a talent echelon led by traditional Chinese medicine and with young and middle-aged doctors as the backbone. The number of doctors under the age of 40 accounts for about 2/3, and more than 90% have bachelor's degrees. There are also many young doctors in the TCM center of Yuntian Town Central Health Center. Lei Huan, a post-95 Chinese medicine major, entered the Chinese medicine center of the health center through the "three supports and one support" project after graduating in 2019. After working for more than two years, she went to hospitals in Gansu Province and colleges and universities in coastal areas to receive training, and her personal medical skills and income also rose. "We have to admit that the problem of talents is one of the main problems faced by grass-roots TCM hospitals." Zhangxueying, head of the TCM center of tengwangge community health service center, believes that it is difficult to recruit young TCM talents at the grass-roots level due to the low treatment. There is a large gap of TCM talents, and the construction of the talent team needs to be further strengthened. The introduction and training of talents is the foundation, and the retention and good use of talents is the key. To this end, various localities have successively introduced measures: in recent years, Zhangshu City has introduced a series of policies, such as the "new five policies" for talent recruitment and talent introduction, 20 policies for the development of the traditional Chinese medicine industry, including the provision of talent subsidies, housing (rental) subsidies, as well as various measures for talent introduction and retention, such as facilitating the admission of children. Zhejiang Province proposed to establish a long-term incentive mechanism to attract and stabilize the protection of grass-roots TCM talents, explore a pilot order training mode for grass-roots TCM talents, and train local and localized TCM talents for the grass-roots level. For example, Anji county invested more than 4million yuan to train TCM teachers in a directional way. Through the construction of grassroots old traditional Chinese medicine studios and characteristic traditional Chinese medicine studios, Beijing has done a good job of mentoring and rapidly improving the skills of traditional Chinese medicine practitioners. Make up for the shortage of talents in the community TCM Museum, and actively explore the form of Medical Association. Since 2019, Jiangxi integrated traditional Chinese and Western medicine hospital has signed cooperation agreements with some grass-roots Chinese medicine centers to integrate medical resources and serve the grass-roots people. Zhaowenhua said that although the coverage of traditional Chinese medicine museums has been significantly improved, the single content of traditional Chinese medicine services in most grass-roots medical and health institutions still exists due to the small number of traditional Chinese medicine personnel, the lack of equipment and the relatively low level of traditional Chinese medicine technology. Next, we will focus on strengthening the allocation of TCM personnel, the provision of TCM technical services and the allocation of TCM equipment, and further improve the quality of TCM services in grass-roots medical and health institutions. (outlook new era)
Edit：sishi Responsible editor：xingyong
Source：http://paper.people.com.cn/rmrb/html/
Special statement: if the pictures and texts reproduced or quoted on this site infringe your legitimate rights and interests, please contact this site, and this site will correct and delete them in time. For copyright issues and website cooperation, please contact through outlook new era email：lwxsd@liaowanghn.com
Recommended Reading Change it 
Home
