Tcm Practitioners' Status Of The Beijing Community Health Services Research,

Community Health Services (CHS) is an important part of urban medical health reform and building. As a capital city, Beijing started its development of CHS since 1974, and was elected one of pilot cities in 1997. Close to the end of 2008, Beijing has built 3,188 CHS centers and stations in urban and rural areas, forming convenient network of public health and basic medical services. Traditional Chinese Medicine (TCM) services were valued in the community for its safety and effectiveness. The level of TCM services has been improved in many areas from the service network construction, workforce training to promotion of TCM items. The size and level of TCM-doctors implies the level of TCM services in community.This study was supported by the Authority Beijing TCM Administrative Bureau. In this study, 20 percent of 3000 CHS agencies were sampled. The methodology including literature analysis, interview, and questionnaire was conducted. Microsoft Access2010 software and SAS9.1 software was used for database processing and statistical analysis. This study was to investigate the Present Situation of TCM-doctors in Beijing community, to assess differences of TCM staffing between urban and rural areas, between demonstration and non-demonstration districts, and to discuss experience and inadequate and to advise the government administration.The main conclusions of this study:1. Beijing CHS network has been basically completed, and the city's community health goal of Traditional Chinese Medicine cover was initially realized. TCM-doctors have begun to take shape, but itinerant TCM-experts system wasn't implemented.2. The ability of TCM-doctors to carry out several feasible TCM-techniques is still to be improved.3. Though unfolding TCM services, most general practitioners haven't taken TCM training.4. The reasons for loss of TCM-doctors related to remuneration, workload, and space for business development.5. TCM-doctors haven' t got the same opinion for the orientation of TCM to CHS.6. TCM-doctors team was better constructed in Demonstration Areas, and itinerant TCM-experts system was better implemented.The main recommendations of this study:1. The government should adjust policies in recruiting TCM-doctors from multi-channel, such as developing local directional training of District Education institutions, improving social-open recruitment assessment methods, raising the distribution rate of itinerant TCM experts, and adjusting the employment requirements of retirees according to local conditions; 2. Enhance the TCM-entered comprehensive service capabilities of TCM-doctors, both with public health service capabilities, through job training and continuing education, graduate-standardized training and internal teaching; 3. Improve community practitioners incentives by adjusting the wage system combining performance appraisal, and providing a platform for continuous learning and experience exchange; 4. Take further discussions about the orientation of TCM services in CHS to clarity "specialist" and "general" understanding of staffs at various; 5. Promote the experience of personnel of demonstration area, such as attaching importance to TCM appropriate technical training for both TCM-doctors and general doctors, actively implementing the expert itinerant system, taking regular forums of CHS institution managers and TCM-doctors, formulating an effective working mode which taking the most use of Chinese medicine resources in the whole region.