Three Counties In Beijing Chinese Medicine Clinics, Development Status And Countermeasures

[Objective] There are large number of Traditional Chinese Medicine clinics in Beijing, having their own characteristics in operation and management, these Chinese medicine clinics located in the urban core and suburban and rural areas in Beijing, supplying the society with Chinese medicine services together with Chinese medicine hospitals, clinics and other large and medium-sized Chinese medical institution. There are both famous aged traditional Chinese medicine doctor and Ordinary TCM doctor; The medical range concludes both Chinese Internal Medicine, but also acupuncture, massage, orthopedics and traumatology, etc; the economic situation of the patients are both high-level consumers, and low-income people; patients from both Some local residents, but also the floating population; the form of ownership is private clinics, stock cooperative, but also shares in the company.In this study, through survey research, make a more comprehensive grasp of the development status of Chinese medicine clinics in three counties, facing the internal environment and external market and policy environment, summarize experiences, identify problems, offer proposals to promote the Chinese medicine clinics to have the health and long-term development.[Method] This study made a survey research about the status and problems of the Chinese medicine clinics in Xuanwu, Xicheng, Chaoyang three districts in Beijing, the major informants are Chinese medicine Clinic operators and health administrators of related district. In results analysis combined the quantitative and qualitative data analysis, not only describe the situation, more deeply analyze the root causes the current situation.[Conclusions] This study found through survey research that, the area of Chinese Medicine Clinic in three counties of Beijing are generally higher than the requirement in "basic standards of medical institutions"; the service object has a broader coverage; have not form a reasonable echelon personnel, mostly elderly TCM doctor, youth The second, middle-aged at least, appear a "two big middle small " situation.The main service projects are medical therapy, acupuncture, massage, cupping, bone setting and scraping, the average of Chinese medicine each Chinese medicine clinics use are 3.7 species; 61.9% of the Chinese medicine clinics carry out telephone reserving service.This study attempts to use "clinical time efficiently' to study the Chinese medicine clinics,by comparison, the "clinical time efficiently" of traditional Chinese medicine clinic are higher than hospitals; in health status, the Chinese medicine clinic are general good; in the privacy of patients, half of the Chinese medicine clinic separate treatment clinic environment, but there are basic not clear patient privacy protection system; in the form of ownership, main the individual and joint stock-based; in operating conditions, the cost of clinic per time in the investigated Chinese medicine clinic is 142.381 yuan, daily average attendance is about 22, staff wages and rent of hydropower is the two largest of clinic expenses, taxes fees in most Chinese medicine clinics is not the proportion of total expenditure.This study divided Chinese medicine clinics in accordance with three dimensions of the core competitiveness of Chinese medicine clinics:Service winning type, Curative effect of winning and Convenience winning type. Chinese medicine clinics patient population is very stable, clinic operators are mostly consciously or unconsciously used patients relationship management strategies to protect their own groups of patients.Strictly access for examination and approval limit the number of Chinese medicine clinics, medical insurance policies excluded the Chinese medicine clinics and brought great difficulties to the part of the clinic, But Chinese medicine clinics run by corporate still exists operating pressure. Doctor's multi-sited licensed system can enhance the flexibility of flow of talent, but the specific implementation still requires the related systems gradually adjust and coordination.[Suggestions] This study put forward development proposals in aspects of Chinese medicine clinics management and health administration management.The clinic management proposals include:providing value-added services, keep patients loyal(optimize service processes, to protect patient privacy and strengthen management of patients); identifying critical patients, expand communication channels; strengthen personnel training, promoting sustainable development; optimize treatment environment, reflects Chinese characteristics establish two-way referral, set up the development platform; carry out horizontal exchange, to create the overall brand.The health administration management proposals include:Accelerate the development of health planning, and guide the development of Chinese medicine clinics; to actively implement the doctor's multi-sited licensed, encourage the rational flow; level authentication information public, to guide selection of patients for medical treatment; pilot covered by medical insurance, give full play to industry self-regulation, to enhance supervision and management; to strengthen regulation of illegal clinics,to protect the legitimate rights and interests clinics.