天津市医疗机构中医康复发展现状分析

Analysis on the status quo of the development of traditional Chinese medicine rehabilitation in medical institutions in Tianjin

关键词:  中医康复  医疗机构  调研

Key words:  Chinese medicine rehabilitation  medical institution  research

摘要:

[目的] 研究旨在深入分析总结天津市医疗机构中医康复发展现状，以期为天津市“十四五”中医康复的发展规划提供真实可靠的依据。[方法] 由天津市卫生健康委员会中医处、天津市中医康复中心通过网络问卷对各级医疗机构中医康复建设情况进行调研。[结果] 共调查了290家医疗机构，开设康复科的公立三级、二级中医医疗机构分别为6家（100%）和7家（58%）；康复科室开设情况、科室门诊面积、病房设置情况、康复仪器设备配置、科室人员配置等软硬件投入与国家要求相比有一定差距；临床方向主要为骨科康复和神经康复，三级、二级中医医疗机构开展的中医康复技术分别为23种和16种。[结论] 天津市中医医疗机构康复总体建设稳步持续发展。然而，仍然存在中医康复医疗资源总量不足、医疗队伍结构不健全、临床方向和病种较为局限、中医康复医疗服务体系不健全等问题。应从顶层设计、财政投入、网络建设等多层面加强中医康复医疗服务体系建设及人才培养，促进全市中医康复服务能力的全面提升。

Abstract:

[Objective] This study deeply analyzes and summarizes the status of traditional Chinese medicine (TCM) rehabilitation in medical institutions of Tianjin, in order to provide a reliable basis for the development planning of TCM rehabilitation in Tianjin during the 14th Five-Year Plan period.[Methods] The Department of TCM of Commission and Tianjin TCM Rehabilitation Center conducted a survey on the construction of TCM rehabilitation in medical institutions at all levels through a network questionnaire.[Results] A total of 290 medical institutions were investigated in this survey, among which 6(100%) and 7(58%) public tertiary and secondary TCM medical institutions set up rehabilitation departments respectively. Compared with the national requirements, there was a certain gap between the hardware and software input of the rehabilitation department, the outpatient area of the department, the setting of the ward, the configuration of rehabilitation instruments and equipment, and the personnel configuration of the department. The clinical direction was mainly orthopedic rehabilitation and neurorehabilitation, and there were 23 and 16 TCM rehabilitation techniques carried out by the third-level and second-level TCM medical institutions respectively.[Conclusion] The overall rehabilitation of Tianjin TCM medical institutions has been developing steadily and continuously. However, there are still many problems to be solved, such as the shortage of TCM rehabilitation medical resources, the unsound medical team structure, the limited clinical direction and diseases, and the unsound TCM rehabilitation medical service system. We should strengthen the construction of TCM rehabilitation medical service system and personnel training from the aspects of top-level design, financial investment and network construction, so as to promote the comprehensive improvement of the city's TCM rehabilitation service ability.