Ningbo: let the high quality service to return to base of traditional Chinese medicine

Time: 2016-05-09

Source: China's traditional Chinese medicine

Author: Wei Min ZhangGuanChun 禇 tusya

Editor's note: in the country that pioneered "government purchase services of traditional Chinese medicine", set up the province's first municipal administration of traditional Chinese medicine... Ningbo city, zhejiang province innovation system mechanism, the development of Chinese medicine for financial investment, in the county, township and village and urban community focus on developing traditional Chinese medicine, "the doctor of traditional Chinese medicine, Chinese medicine at the grass-roots level" early effect. Our reporter recently visited ningbo grassroots community, recording the business reform and development of traditional Chinese medicine, divided into two articles published, medical services and personnel training.

A set of policy guarantee mechanism conducive to the development of TCM, a covering tertiary grassroots medical institutions of traditional Chinese medicine service network, a group of "up to down, to the west" in the talents of Chinese medicine... This is all work at the grass-roots level of achievement of traditional Chinese medicine in recent years, ningbo, zhejiang province.

"Three" grassroots play with medical 1 + 1 > 2 effect

Zhang Dama sudden acute cerebral infarction, 52, limb unable to move, was sent to "top" ningbo hospital for emergency treatment. After the acute phase, arrange the Zhang Dama back to the hospital Simon street community health service center to accept haishu district of rehabilitation.

The center for rehabilitation therapy of traditional Chinese medicine, ningbo is the first five-star clinic of traditional Chinese medicine community health center. Three consecutive years now, the center of traditional Chinese medicine traffic growth rate is 20%, Chinese medicine business income of 70.12 million yuan in 2015, accounting for 36.41% of total revenue.

"Patients admitted to hospital strength grade is zero, sequela." Zhejiang university of Chinese medicine graduate Hu Jian came to the community for ten years, he set Zhang Dama scalp needle, local acupuncture and moxibustion, and cooperate with the treatment with traditional Chinese medicine medicinal broth.

A month later, Zhang Dama strength back to level 3, stay in stable condition, Hu Jian let her recuperate in the home, the door to the rehabilitation training on a regular basis, and teaches Zhang Dama son daily massage technique.

"Haishu district population aging phenomenon more obvious, the community center set up 100 beds are not only occupied, sometimes have to make an appointment." Lin Ping, director of the center, traditional Chinese medicine were included in community rehabilitation system, fully using the appropriate technology for acupuncture, massage and so on more than 10 items, 93.42% of stroke sequela, physical disabilities, such as patients received rehabilitation therapy of traditional Chinese medicine. At the same time, the center for the elderly, women, children and other key crowd implementation of rehabilitation of traditional Chinese medicine health care.

"3 armour hospital main acute severe, the treatment of knotty disorder, community health center is responsible for common diseases, chronic diseases, the protection of traditional Chinese medicine, before and after the match and can realize the effect of 1 + 1 > 2." In ningbo city health and family planning commission director of China's view, Chinese traditional medicine is the first option "residents in community" key, is indispensable in the ramming the grading system.

By the end of 2015, ningbo all community health service centers and 90.4% of towns and townships, have set up a relatively independent comprehensive service of traditional Chinese medicine (TCM).

The government spend money on service area county hospital early spring wind

MenZhenLiang above people's hospital at the same level for 10 years in a row, all time diagnosis and treatment cost is lower than other county hospital. Let this accomplishment of fenghua hospital is confidence. "Walks road of the characteristic of traditional Chinese medicine, patients with low cost, the doctor high income" is the dean byalick stop work.

"Low-cost" is directly related to the doctor of traditional Chinese medicine diagnosis and treatment of income, let many hospitals put don't open hands. In 2010, ningbo for hospital, general hospital of traditional Chinese medicine according to the TCM clinic at the same level 8 yuan per time, Chinese medicine hospital fiscal subsidy from the standard of 15 yuan per bed daily. Then, out by the Treasury, 11 counties in the city, city, district and township, the streets of service increasing investment, the construction of Chinese medicine of traditional Chinese medicine cause normal funds from 069 million yuan in 2009, rose to 119 million yuan in 2014.

Policy, the enthusiasm of the doctor quickly mobilize. In clinic, eye conjunctiva disease using traditional Chinese medicine, oral mucosal disease external Chinese medicine, the doctor prescribed medicine change from passive to active.

Despite the restricted space, the doctor hospital is still out of 20 beds to "ace" department needle push rehabilitation division, appropriate technology for Chinese medicine here use rate of 100%, and accounted for only 12.81%. Resident population of 490000 in 2015, fenghua city, the whole operation project of traditional Chinese medicine has 440000 people.

Fenghua xikou hospital with good policy, put forward the development of Chinese medicine. Jackie chan, dean of the righteous said: "the best house is free to set up Chinese medicine hall, for each of the department of traditional Chinese medicine doctors established studios, now, the doctor of traditional Chinese medicine outpatient service business income alone accounted for 26% of total revenue to the hospital. Our doctors are sinking to the villages and towns, radiation services to more people at the grass-roots level." Not long ago, it was named national comprehensive hospital of traditional Chinese medicine work demonstration unit.

"' the government to spend money to buy the service received very good effect, letter, learning atmosphere, the use of traditional Chinese medicine of traditional Chinese medicine of traditional Chinese medicine has formed. We plan to this kind of method is copied to the pediatric, psychiatry and other specialist areas, policy will also increase subsidies for Chinese medicine." China work with confidence about the future.

Counterpart support refresher training appropriate technologies to expand

Into the ningbo zhenhai thousands of city community health service stations, xu is 5 o 'clock in the afternoon. Courty transfusion room next door, and TCM doctor Xia Min still busy between two nursing bed pills, tank, although the leg disability made him walk up to some hard, fast and exact, but his technique with one.

Posts to the village doctor especially attaches importance to, as much as possible for him with his Chinese medicine diagnosis and treatment equipment. Xia Min opened several drawer, containing a variety of acupuncture and moxibustion apparatus, scrapping plate, pot, article ai, etc. "I like to ponder the, have time to go to the hospital study, most of the time, or did you study some of the 'ground' indigenous method."

Whether in zhenhai, community health service station or fenghua xu jin sun screen street community health service station, the TCM workers have the opportunity to counterpart support traditional Chinese medicine hospital in appropriate technical training. Ningbo guo-ping zhang, deputy director of the health and family planning commission, led by the municipal hospital, 11 counties (cities, districts) in the area suitable for technical training and application of traditional Chinese medicine registries, held in 2015 alone 16 issue of special training, training medical staff of more than 900 people, 15 to promote Chinese medicine appropriate technology.

In the middle of the "catch two head, promote and build mechanism" development strategy, the ningbo can provide services of traditional Chinese medicine community health centers, village clinics accounted for 89.95%, 89.95% respectively, in 2015 the city's basic medical and health institutions of traditional Chinese medicine service people accounted for 24.46% of total clinical than in 2010 increased by 7.2%, all the streets, villages and towns has carried out large-scale prevention of traditional Chinese medicine health care services.

"Through the towns and townships of division DaiTu way to retain and use the category assistant practicing doctors of traditional Chinese medicine, and take in the western, TCM personnel training, to strive to solve the problem of rural hospitals also cannot provide services of traditional Chinese medicine." Guo-ping zhang said.

The reporter's note:

Cultivating grassroots fertile soil of Chinese medicine

The root of traditional Chinese medicine, at the grassroots level is the result of its simple test inexpensive advantage. A few silver needle, a herbal medicine, look be like coarse, in addition to the disease from bitter. How many Chinese medicine appropriate technology because of its simple manipulation, suitable for common diseases, generations of inheritance of traditional Chinese medicine in the rural areas.

Once upon a time, the characteristics of traditional Chinese medicine is not outstanding, high quality talent "XiaBuQu, do not leave", etc., make traditional Chinese medicine away at the grassroots level. Since grassroots service project improve the capacity of traditional Chinese medicine, not only strengthen the foundation of the traditional Chinese medicine, also has been clear about the grassroots health and the direction of the development of Chinese medicine.

Both in terms of major disease prevention and control of traditional Chinese medicine achievement, also want feet on the ground, foster its development at the grassroots level.

Ningbo grassroots "letter of traditional Chinese medicine, Chinese medicine, the use of traditional Chinese medicine" in the atmosphere, leading to try one of the leading enterprises in the national work of traditional Chinese medicine, can yet be regarded as a success for grassroots service ability of traditional Chinese medicine engineering examples. Grass-roots work of traditional Chinese medicine need to insist for a long time and break-in, with the method of the ground, cultivating the soil, in which the conditions can be favorable to life giving full play to the advantages of characteristics of traditional Chinese medicine, health for the people to build "the first line of defense", covering a vast land of Chinese medicine.