【作者】 李自民；

【导师】 王健；

【作者基本信息】 山东大学 ， 社会医学与卫生事业管理， 2010， 硕士

【摘要】 中医药是我国医疗卫生体系的重要组成部分,为中华民族的健康和繁衍昌盛做出了不可磨灭的伟大贡献。中医药以其显著的临床疗效、浓郁的民族特色、独特的诊疗方法、系统的理论体系、浩瀚的文献史料屹立于世界医学之林,成为人民医学宝库的共同财富。由于中医传统理论与社区卫生服务的理念极为接近,中医中药具有“简、便、验、廉”的特点,能够解决亚健康问题,具有深厚的群众基础,能够切实有效地缓解卫生领域“看病难、看病贵”问题,加上党和政府在政策上的大力扶持,中医药必将在社区卫生服务中具有广阔的前景。福州作为海峡两岸交流的“桥头堡”和福建省省会,一方面承担着促进中医药文化交流,继承和发扬闽台优秀中医药文化传统的重任；另一方面还为树立福建甚至是东南沿海中医药事业发展的典范而奋斗。近年来,福州中医药事业发展迅速,尤其是在中医药社区服务方面取得了较大的成绩,具有一定的代表性。本研究的目的是调查福州中医药社区卫生服务的需求和利用水平,对其影响因素进行分析,发现当前中医药社区卫生服务中存在的问题,并有针对性地提出改进措施和合理化建议。本文通过文献分析、问卷调查和现场访谈等研究方法,对福州市30个社区的居民的中医药社区卫生服务需求和利用情况进行调查研究,并用统计学的研究方法进行分析。本文的主要研究结果是：社区居民对中医药社区卫生服务了解较多的是中药、针灸,推拿按摩,并且了解不够深入,而且了解渠道主要以社区宣传为主；从居民得到的,以及希望社区卫生服务机构提供的中医药社区卫生服务项目看,主要仍是中药；从希望提供的具体形式来看,随着生活水平的提高和健康意识的主要仍是中药；从希望提供的具体形式来看,随着生活水平的提高和健康意识的加强,居民在传统疗法、养生保健、体质调养等方面需求不断增加,大部分居民认为中医药社区卫生服务功能要进一步拓宽；居民对中医药社区卫生服务的满意度高,并且需求迫切；社区居民的年龄、学历、就业状况、家庭收入情况是影响居民选择中医药社区卫生服务的因素,而性别对中医药社区卫生服务的需求影响差别不大。建议：继续加大政策扶持和资金投入,完善保障机制；有针对性地开展宣传活动；针对社区不同人群,开展中医药社区卫生服务；总体上丰富社区卫生服务的项目；根据居民对社区功能需求的定位,明确中医药卫生服务发展方向。更多还原

【Abstract】 Traditional Chinese Medicine (TCM) is an important component of the Chinese health system and has made great contributions to the prosperity and development of the whole nation. Chinese medicine for its significant clinical efficacy, strong ethnic characteristics, unique treatment methods, system theory, documents and historical materials of the forest has been the vast tower in the world medical, and has been a treasure-house of the common wealth of the people of Medicine.Traditional Chinese medicine theory is very close to the concept of community health services. Chinese medicine has the characteristics of "simple, easy, experience, honesty", and for that Sub-health problems can be solved. Also TCM serving for the community is of great importance in resolving issues such as the difficulty and high cost of getting medical service. At the same time our party and government give the vigorously support of Traditional Chinese Medicine. For that all Chinese medicine in community health services will have broad prospects, as a bridgehead for cross-strait exchanges and the capital of Fujian Province, Fuzhou not only has the responsibility for promoting the culture exchange of TCM, but also must be the example of development of Chinese medicine in Fujian or the Southeast. In these years TCM has developed rapidly in Fuzhou, which is considered as one representative.This study is carry out to investigate the needs and of TCM in community hygiene in Fuzhou, to make an analysis on its influential fators, to find the problems and their improving measure. By means of literal community hygiene in Fuzhou, to make an analysis on its influential fators, to find the problems and their improving measure.By means of literal analysis, questionnaire method and interview, we made study on the needs of TCM community medical services in thirty communities and analyzed it statistically.Results:Residents understand the medical and health services in the community primarily through community outreach, but the gender of the medical use of community health services is not very different; Residents of traditional Chinese medicine community are satisfied with the health services, but its utilization is not high;Service projects carried out of traditional Chinese medicine are still far from meeting the needs of the masses; Age, education, employment status, family income is the influencing factor of community residents to choose in Chinese medicine community health service.Suggestions:Continue to increase policy support and capital investment, and improve the security mechanism; To carry out targeted promotional activities; For different community groups to conduct community health services in medicine. Enrich Community Health Project of Traditional Chinese Medicine.According to the functional requirements of the residents of the community orientation, we should have a clear direction of development of Chinese medicine and health services.更多还原