Feng Guangbei
AbstractThe traditional Chinese medicine is China's traditional medicine, and its theoretical system matches with the concept of community health service organizations, and the development of traditional Chinese medicine service in community
health service organizations not only adapts to the needs of the times and promotes the traditional Chinese medicine's own development, it can also serve to improve the health of the people
and promote the development of community health service organizations themselves. Here, the necessity and feasibility of developing Chinese medicine
services in community health service organizations are analyzed in depth.
Keywords community health services; traditional Chinese medicine; necessity and feasibility
Chinese Figure Classification Number R197.6 Literature Identification Code A
Article Number 1671-8569(2010)02-0267-03
The necessity and feasibility of developing traditional Chinese medicine in Community Health
Services (CHS) FENG Guang -wei. Technology Education Department, the First Affiliated
Hospital of Kunming Medical College, Kunming 650032, China
AbstractThe theory of traditional Chinese medicine is consistent with the thinking
concepts of the CHS institutions and to carry out Traditional Chinese Medicine service in CHS
institutions can serve the improvement of people's health. Traditional Chinese medicine is consistent with the thinking
concepts of the CHS institutions and to carry out Traditional Chinese medicine service in CHS
institutions can serve the improvement of people's health and promote the development of CHS
institutions. In this paper, the necessity and feasibility of developing Traditional Chinese
Medicine service in CHS was analyzed.
Key wordsCHS; Traditional Chinese Medical; Necessity and feasibility
The new health care reform program in 2009 emphasized that primary health care institutions should use appropriate technology, appropriate equipment and basic drugs, and vigorously
promote traditional Chinese medicine (TCM), including ethnomedicine, in order to provide urban and rural residents with safe, effective and low-cost services. In the new period, the state has strategically proposed
the development of Chinese medicine services in order to inherit and carry forward China's traditional medicine
; to give full play to its strengths, so that it can serve the people with its unique treatment modalities and principles of diagnosis and treatment; and to embody China's "equal emphasis on the development of both traditional Chinese and Western medicines". Community health service organizations can provide residents with convenient, fast,
considerate and timely services, acting as a community "gatekeeper" role[1],
in its "six-in-one" function to carry out Chinese medicine services, so that the two are more
increased.
Better integration, play an advantage, serve the community, serve the public, to solve the current development of Chinese
Medicine and community health services in the development of many of the problems faced by the organization,
In this integration of the two development of the necessity of feasibility of the analysis of
.
1 The characteristics of Chinese medicine are suitable for the development of community health services
The theoretical content of Chinese medicine attaches importance to the relationship between human beings and nature, and is based on the holistic view of "heaven
human unity", the concept of "balance of yin and yang" and the concept of health. "Evidence-based treatment"
is its characteristic; TCM evidence-based treatment, the holistic view of medicine, methodology
and community general medicine view and preventive view and methodology have common points (such as
The essence of TCM evidence-based treatment is to emphasize the adoption of
different treatment methods for the specific conditions of individuals, which is the same as that provided by the general medicine). This is the same as the principle of providing individualized services in general medicine; the concept of "treating the future disease" in TCM includes "preventing the disease before it occurs, and preventing the change of the disease before it occurs", which echoes the tertiary prevention in general medicine, which embodies the concept of preventing the disease before it occurs and the prevention of the disease after it occurs.
Presenting the contents of Chinese medicine prevention and health care, the latter can effectively guide the medical
therapy, rehabilitation activities, etc.) These are determined by the scientific nature of their own theories and advantages
Potential. The development of Chinese medicine services in community health service organizations
has great advantages: ① Chinese medicine has a wide range of population demand in the community. It
has less investment, small side effects, simple and easy to implement and so on; ② Chinese medicine
used for disease prevention and health care functions and modern community health services
service connotation is very consistent with the community's preventive and health care and China's traditional
medicine, "prevention of disease, prevention of disease, prevention of change, prevention of disease after recovery "
Preventive thinking
coincides with the whole process of health and disease, and puts forward the three-level preventive strategy; ③
Chinese medicine appropriate technology is convenient for the community to apply and promote.
2 The necessity of the development of Chinese medicine in community health services
2.1 The needs of the post-medical era and the transformation of the medical model are conducive to
the diagnosis and treatment of geriatrics and chronic diseases and the prevention and treatment of common diseases
Currently, the medical model has been transformed from a purely "biomedical" model
into a "biomedical" model.
Currently, the medical model has changed from pure "biomedicine" to a comprehensive model of "bio-psycho-social-spiritual-environmental",
"Lifestyle" diseases have an increasing impact on people's health, and a variety of diseases that disturb people cannot be produced with the development and accelerated pace of life of the times.
These are the most common diseases. development and accelerated pace of life can not be
born, the number of subhealthy people increased dramatically; with the aging society process
aggravated, geriatric diseases increased; cardiovascular and cerebrovascular diseases and other chronic diseases in the spectrum of diseases and
the spectrum of causes of death occupies a major position [2]. The principles of Chinese medicine treatment emphasize grasping the interactions and influences between the body and the spiritual, social, and natural environments
under the guidance of
the idea of holistic view. Grasping the diversified,
multi-causal, multi-fruitful and complex relationship between people and diseases, it also specializes in toning, examining evidence and seeking causes, dividing the outside
figuring out the inside, and treating the same disease with different treatments and different diseases with the same treatment [3]. These characteristic treatment
modalities of TCM have certain advantages in prevention and treatment for lifestyle patient groups, people with subhealth status, and people with chronic diseases such as cardio-cerebral-blood
tube disease. There are a lot of methods in Chinese medicine, such as: adjusting the four seasons,
living and living in a normal way, etc. Obviously, these methods belong to the lifestyle. Obviously, all these methods belong to the lifestyle paradigm
category, which precisely targets the modern diseases caused by poor lifestyle.
To give full play to Chinese medicine in the
community health service "six-in-one" function
is the inevitable trend of community health service organizations to comply with the development of society.
2.2 Effectively improve the fairness and accessibility of medical and health services to
and service efficiency
According to statistics, 80% of China's health resources are distributed in the city, which accounts for 20% of the population, while the countryside, which accounts for 80% of the population, has only 20% of the
health resources, and the allocation of health resources is concentrated in the large urban hospitals. The allocation of health resources is concentrated in large urban hospitals, with insufficient transfer to the
basic level, resulting in low utilization of health resources. Vigorously developing community health services is conducive to solving the contradiction between the "positive three
angles" and the "inverted triangle" in the allocation of health resources, and Chinese medicine and its appropriate technologies have the advantages of
community health services can effectively improve the fairness and accessibility of medical
health services, and improve the efficiency of its services.
2.3 Favorable to control the excessive growth of medical costs, alleviate the people
people "expensive, difficult to see a doctor" problem
Currently, large and medium-sized hospitals, medical fees are too high and too fast growth of the public
receptibility to decline in the cost of medical care has become the focus of public attention, community health services
Community health services
Community health services
The development of Chinese medicine in community health services can effectively improve the fairness and accessibility of medical health services and improve their service efficiency.
Therapeutic services as the most grassroots health organizations should fully take care of the majority of people's
basic medical needs [2], in the community health service institutions to carry out traditional Chinese medicine services
services, to the common diseases and diseases and take the clinical
long-term practice proved to have therapeutic efficacy, the operation of the method of simple and easy to learn the
useful The Chinese medical treatment methods that have been proven to be effective in clinical practice over a long period of time are simple and easy to implement, useful to learn and inexpensive to popularize
promote. Not only can the community residents enjoy inexpensive and beautiful medical
services, improve the health of the residents, but also reduce the pressure of large hospitals
for the country and individuals to save medical expenses, to a certain extent, to alleviate
"expensive, difficult to see the doctor" problem.
2.4 Beneficial to the improvement of the health service system of Xiaokang, and promote the construction of a harmonious society
area, harmonious society
Health is the goal of social development, is one of the basic conditions of political stability
countries, in the process of comprehensively promoting a moderately affluent society, it is necessary to put the whole nation
the quality of ideological and moral qualities, the quality of scientific and cultural qualities, the quality of health Put in the first place [4].
Health is not only a personal matter, but the goal of the whole society, complete
good health service system, the establishment of "people-oriented" health services
system is an effective way to achieve this goal, community health services have
convenient, fast, low-cost, service diversification characteristics, vigorously develop the community health services
have convenient, fast, low-cost, service diversification characteristics, vigorously develop the community health services
have convenient, fast, low-cost, service diversification characteristics. The community health service is characterized by convenience, speed, low cost and diversified services. Vigorously developing
community health service is conducive to meeting the growing demand for health services, improving people's health, and promoting the construction of a harmonious community and a harmonious
society. Put the advantages of Chinese medicine in community health services,
play its characteristics, establish a brand, out of a community
district health services with Chinese characteristics of the road, to provide efficient and low-cost health
health services for community residents.
2.5 Beneficial to the inheritance and development of Chinese medicine, revitalization of Chinese medicine
Chinese medicine is China's traditional medicine, is thousands of years of the Chinese nation
great achievements in the fight against disease, it is not only the Chinese nation's treasure
noble culture, but also the world's people's culture, the application of traditional Chinese medicine in community health services
to give full play to its distinctive Advantages of Chinese medicine, Chinese medicine technology to
promote, which not only enriches the connotation of community health services construction, but
also inherits and carries forward Chinese medicine, revitalization of Chinese medicine.
3 Feasibility of the development of traditional Chinese medicine in community health services
3.1 In line with the national health policy and national policy, with policy support
China's health policy is to "give equal importance to both traditional Chinese and Western medicine, and to develop traditional Chinese medicine
pharmaceuticals", and the integration of traditional Chinese medicine into community health services is the first step in implementing the Party's health work
. The integration of Chinese medicine into community health services is a concrete manifestation of the Party's health work
policy.
On July 16, 1999, the Ministry of Health and ten other ministries
commissioned the joint promulgation of the "Several Opinions on the Development of Community Health Services in Cities
It is clearly stipulated in the "Several Opinions on the Development of Community Health Services in Cities
that the development of community health service organizations should actively adopt
the appropriate techniques of traditional Chinese medicine, the integration of traditional Chinese and western medicine, and ethnomedicine.
In November 2003, the Ministry of Health, in conjunction with the State Administration of Traditional Chinese Medicine, formulated and released
the Basic Standard for the Management of Traditional Chinese Medicine Services in Community Health Centers,
which unified the standards for the construction of TCM services in community health centers, talent
equipping and training of talents, and the content of services. In the same year,
the Ministry of Health, the Ministry of Civil Affairs and the State Administration of Traditional Chinese Medicine issued the "Implementation Plan for Creating Community Health Service Demonstration Areas in the Whole Country".
In 2006,
The Guiding Opinions of the State Council on the Development of Community Health Services in Cities and the "Opinions on Giving Full Play to Traditional Chinese Medicine in Urban Community Health Services" and the "Opinions on Giving Full Play to Traditional Chinese Medicine in Urban Community Health Services" were also issued. The "Opinions" have also been issued one after another, in which it is clearly pointed out that the advantages and roles of traditional Chinese medicine (TCM)
and ethnomedicine in community health services should be brought into full play, TCM medical institutions should be encouraged to take an active part in community health services, and the cultivation of TCM
talents should be strengthened. Wu Yi, former vice premier of the State Council, emphasized at the 2007 and 2008
National Work Conference on Traditional Chinese Medicine that it is important to establish a perfect community
health service system, vigorously develop TCM community health services, and give full play to the advantages of TCM in the construction of community
district health services and the New Rural Health Cooperative System, which are simple,
convenient, tested and inexpensive, and that the advantages of TCM in community health services should be fully utilized. The new program is designed to improve the accessibility of TCM services by utilizing the advantages of TCM in community health services and in the construction of the new rural cooperative system. The new
healthcare reform program also emphasizes the importance of the development of Chinese medicine services, the national
relevant policies "hard" tilt and the leadership's attention and support to the development of Chinese medicine
medicine community health services provide opportunities for the development of policy support [5].
3.2 Rooted in traditional Chinese culture, with a deep mass base
Traditional Chinese culture is mainly Confucianism, Taoism, Buddhism, three schools of thought for a long time fusion
combined, these three schools of thought, all of which have far-reaching impact on the formation and development of traditional Chinese medicine, especially the emphasis on the harmonization of man and the natural world of the "celestial and human
One", which emphasizes the unity of man and nature. p>
One" concept is not only one of the essences of traditional Chinese culture, but also directly created
the basic framework of Chinese medicine, and found the starting point and destination for the development of Chinese medicine. The traditional Chinese culture's organic view of nature, holistic view, plain
system view and five elements philosophy not only constitute the theoretical system of Chinese medicine
system, but are also known and recognized by the Chinese people. The four diagnostics and eight
outlines of TCM, the six external senses (wind, cold, heat, humidity, dryness and fire), and the seven internal injuries are also recognized by the Chinese
people. In particular, the unique efficacy of Chinese medicine is more known
dao. In the old days, "ringing the bell doctor", "magpie traveled around the world to visit doctors and diagnose diseases" are
in-depth folk, door-to-door service, for the people to be familiar with the earlier
Chinese medicine community health services in one of the forms of service concepts and methods
style has long been recognized by the Chinese people, but also the Chinese people.
Style has long been y integrated into the daily life of the people [4].
3.3 The theoretical system of Chinese medicine matches with the thinking
concept of community health service organizations
Chinese medicine is a study of human physiology, pathology, and the
diagnosis and prevention of diseases, with a complete and unique medical theory system
Science [2]. Traditional Chinese medicine attaches importance to the relationship between human and nature, emphasizes that "human" is a
organic whole, believes that the normal life activities of human beings are an organic combination of psychological and physiological functions, pays attention to the influence of psychological and spiritual factors on the normal physiological
functions of the human body and pathological changes, and emphasizes that psychological problems are the cause of disease
. It emphasizes that psychological problems are one of the most important causes of diseases, and takes the holistic view of "the unity of heaven and man", the health view of "yin and yang equilibrium
equilibrium", and "evidence-based treatment" as its The community health service is characterized by Community health service
is an effective, economical, convenient, comprehensive, and continuous grassroots
health service integrating prevention, medical treatment, health care, rehabilitation, health education, and family planning technologyservices, and focusing on solving the main health problems in the community.
Since the 20th century, due to the continuous
development of science and technology, people's living conditions have gradually improved, and the quality of life has been greatly
improved, and people's demand for medical and health care services has risen from simple
disease diagnosis and treatment to the pursuit of a high quality of life. People need
more
is to provide prevention, rehabilitation, health care, psychological guidance as one of the integrated
health services; the need for convenient, fast, continuous, proactive, thoughtful, nearby,
timely health services; the demand for services with a more humane and personalized;
requires services not only focus on the disease itself physio-pathological factors, but also
the psychological factors that cause the disease.
Focus on the psychological and social factors that cause disease. The
development concepts and thinking of community health services are catering to people's needs, and the holistic
view of Chinese medicine and the diagnosis and treatment system of diagnosis and treatment are more in line with the service system and development mode of community health services, which makes it easier to combine the two, and helps to promote the improvement of people's health level, and helps the development of community health services
connotation services.
Connotation of the development of services.
At present, due to China's insufficient investment in the development of community health services,
driven by economic interests leading to a serious imbalance in the development of Chinese and Western medicine, the residents of
knowledge of the weak, inefficient use of traditional Chinese medicine development can not be optimistic; the new situation
under the new situation, the advantages of traditional Chinese medicine in the community health services to give full play to the advantages of Chinese medicine is not only
is the development requirements of community health services, but also the improvement of people's health, the development of community health services. Under the new situation, giving full play to the advantages of traditional Chinese medicine in community health services is not only the requirement for the development of community health services, but also the need to improve people's health and promote the development of traditional Chinese medicine itself. Therefore, it is worthwhile to explore how to optimize the combination of the two on the basis of the necessity and feasibility of their development, and to promote the healthy and coordinated development of the two
.
References
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(Received: 2009-09-21
)