近二十年中医技术操作规范的研究现状、问题及对策分析

Analysis of the research status, problems and countermeasures of the technical operation standards of traditional Chinese medicine in the past two decades

关键词:  中医技术  操作规范  现状  问题  对策

Key words:  Chinese medicine technology  operation standardization  status  problem  countermeasure

摘要:

文章系统梳理中医技术操作规范的研究现状，提出存在的问题并给出解决方案，同时对中医标准化未来发展进行展望。通过对中医技术操作规范标准文件及文献分析的方法进行研究。目前中国已制订176部中医技术操作规范，制订流程相对成熟，但仍存在一些问题：如推广力度较小、临床适用性较低；更新与修订滞后；共识方法各有特点，但在应用中仍存在不足；质量评价目前仅涉及临床适用性评价，尚无效果评价研究、缺乏评价方法及评价指标体系；缺乏中医标准化人才及政策支持、管理运行机制不完善等。建议加强推广与应用力度，有针对性地开展操作规范推广和应用；完善评价研究、提出科学合理的评价反馈方法、构建操作规范评价指标体系；推进操作规范及时修订；改进形成意见的共识方法；加强制订中医技术操作规范的人才培养、政策支持及管理机制等。中医技术操作规范的研究现状存在一定的问题，需要及时解决以更好地发挥中医技术操作规范的作用。

Abstract:

[Objective] To systematically sort out the current research status of the technical operation standardization of Chinese medicine,put forward the existing problems and give solutions,and at the same time look forward to the future development of Chinese medicine standardization. [Methods] The study was carried out by analyzing the standard documents and literature on the technical operation standards of Chinese medicine. [Results] At present,China has formulated 176 technical operation standards for traditional Chinese Medicine(TCM),and the formulation process is relatively mature,but there are still some problems:such as less promotion,lower clinical applicability;lagging behind in updating and revising;consensus methods have their own characteristics,but there are still deficiencies in their application;quality evaluation is only related to the evaluation of clinical applicability,and there is no research on the evaluation of effects,lack of evaluation methods and evaluation index system;lack of TCM standardization talents and policy support,management and operation. There is a lack of standardized talents and policy support,and the management and operation mechanism is not perfect. It is recommended to strengthen the promotion and application efforts and carry out targeted promotion and application of operation standardization;improve the evaluation research,propose scientific and reasonable evaluation feedback methods,and construct the evaluation index system of operation standardization;promote the timely revision of operation standardization;improve the consensus method of forming opinions;and strengthen the cultivation of talents for formulating the operation standardization of Chinese medicine technology,policy support,and management mechanism. [Conclusion] There are certain problems in the current status of research on the operation standard of Chinese medicine technology,which need to be solved in time in order to better play the role of the operation standard of Chinese medicine technology.