【作者】 林颖欣；

【导师】 胡志坚；

【作者基本信息】 福建医科大学 ， 流行病与卫生统计学， 2010， 硕士

【摘要】 目的建立评价福州市社区中医药适宜技术评价指标;应用建立的福州市社区中医药适宜技术评价指标体系对福州市社区卫生服务中心及社区居民进行实证研究;同时分析适宜技术缺项的现状和原因。方法通过德尔菲法确定评价指标,并确定指标权重,建立评价指标体系;利用建立的评价指标体系对福州5个社区中医药适宜技术缺项情况进行综合评价;设计问卷调查表,对其影响因素进行调查与分析。结果(1)经两轮专家咨询,最终确立了由4项一级标准,9项二级标准,24项三级标准组成的福州市社区中医药适宜技术评价指标体系。(2)应用建立的福州市社区中医药适宜技术评价指标体系对福州市及5个社区卫生服务中心、社区居民进行实证研究,不仅检验了该评价体系的实际应用情况,还在一定程度上反映了福州市社区中医药适宜技术缺项的现状。表明这套评价体系具有较强的实用性和可操作性。结论本次研究实证部分的应用反映了当前福州市社区中医药适宜技术确实存在缺项的现状,其中社区卫生服务中心人员(100-17.68/28×100=36.86)、中医药适宜技术设施(100-13.83/28×100=50.61)和社区居民需求指标(100-9.5/22×100=56.82)三个指标扣分较多,最后总得分58.42分(满分100分),说明当前福州市存在社区卫生服务中心不能提供足够满足社区居民需要的中医药适宜技术服务项目的状况。要在社区推广中医药适宜技术,尤其要重视社区中医药人才素质的提高、需要配备足够的设施,从政策、资金投入等各方面努力满足社区居民对中医药适宜技术的要求。更多还原

【Abstract】 ObjectiveEstablishes appraises Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou appraisal target. Conducts the real diagnosis research using the establishment Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou appraisal target system to the Fuzhou community health service center and the community inhabitants; Simultaneously analyzes the Feasible technology to lack a present situation and the reason.MethodsThrough Deuel Philippines method determination appraisal target, design questionnaire examination table. Through calculates carries on the quantitative analysis to expert’s authority and the representation, carries on the revision to all levels of targets, screens and establishes, and Fuzhou questionnaire result substitution appraisal target, computation score. To investigates the material influence factor to use the non-parametric test analysis which the order transforms.Results(1) passes through two turn expert to consult, finally has established by 4 level standards, 9 two level of standards, 24 three level of standards compose Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou appraisal target system.(2) conducts the real diagnosis research using the establishment Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou appraisal target system to the Fuzhou community health service center and the community inhabitant, not only examined this appraisal system practical application situation, but also had reflected to a certain extent the Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou lacks a present situation.Indicated this set of appraisal system has the strong usability and the feasibility.ConclusionThis research real diagnosis part application had reflected the current the Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou exists truly lacks a present situation, in which community health service center personnel (100-17.68/28×100=36.86), the Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou facility (100-13.83/28×100=50.61)and the community inhabitant demand target (100-9.5/22×100=56.82) three target point deduction are many, finally always scores points for 58.42 (perfect score 100), explained the current Fuzhou existence community health service center cannot provide enough satisfies the Feasible Techniques of Traditional Chinese Medicine service project condition which the community inhabitant needs.Must promote the Feasible Techniques of Traditional Chinese Medicine in Communities ,must take the community Traditional Chinese medicine talented person quality especially the enhancement, needs to provide the enough facility, from the policy, the fund investment and so on various aspects satisfies the community inhabitant diligently to the Feasible Techniques of Traditional Chinese Medicine in Communities of Fuzhou request.更多还原