| Objective:To investigate the current situation of the combination of TCM and elderly residents in Beijing,analyze the existing problems and put forward countermeasures and Suggestions.Methods:1.Literature research method.Through reading and sorting out relevant domestic and foreign literatures,policies and regulations and other materials,I got to know the background knowledge and development of the combination of TCM and TCM in Beijing,sorted out relevant standards,norms,index systems and existing problems,and made basic preparations for the design of questionnaires.2.Expert interview and field investigation.To understand the implementation situation of Beijing's TCM medical care integration development policy,the experience of TCM medical care integration project,the problems existing in the development of TCM medical care integration,and the countermeasures and Suggestions.3.Questionnaire survey.Investigation of Beijing four pilot area of medicine medical 23 home keep of pilot units and Beijing xicheng district,shunyi district M M old-age care center of geriatric hospital,M community endowment service station in daxing district,chaoyang district 4 M community health service center unit of 125 elderly residents,understand the Beijing Chinese medicine medical support based on traditional Chinese medical pilot unit support combination of operation mode,the medical service content,service content,suitable for the elderly Chinese medicine of traditional Chinese medicine appropriate technology popularization,the development of traditional Chinese medicine medical raise problems;To understand the elderly residents' demand for and cognition of TCM combined care services.Research Results:Beijing Chinese medicine cure keep running status:1.The traditional Chinese medicine cures a combined operation mode:More than 50%of the pilot units through the establishment of traditional Chinese medicine health care zone and development of traditional Chinese medicine health care package provides Chinese medicine medical combining services,pilot unit by adding 5%?15%of the traditional Chinese medicine health pension consortium,to set up the "card bag duty" series of health and pension service model,to establish Chinese medicine of traditional Chinese medicine health endowment online service mode with the combination of traditional Chinese medicine medical combination of services.2.Content provision of combined medical and nursing services:Among the surveyed pilot units of combining medical and nursing services with traditional Chinese medicine,there were more health management services,health record establishment services,rehabilitation guidance services,health consultation services and traditional Chinese medicine medical services,and the family doctor contract services--home bed and hospice care services were the least.3.Content of TCM services:There are more TCM massage services,cupping services,acupuncture and moxibustion services,TCM health and elderly care service area-chronic disease prevention and scrapping services in the investigated TCM medical and nursing pilot units,but fewer acupotomology services and acupoint injection services.4.Suitable for the elderly to promote Chinese medicine appropriate technology:The 10 selected by the Beijing municipal administration of traditional Chinese medicine of traditional Chinese medicine appropriate technology is suitable for the elderly,He Wuhui-hayes fire needle,dongzhimen hospital affiliated to Beijing university of Chinese medicine massage-meridian leg foot therapy,Wang Weidongpromotes more TCM psychotherapy,GeFengLin-pinches bar clap play and zhong-min leiberyllium needling both suitable for the elderly within the pilot units provide less appropriate technology.5.Beijing Chinese medicine hospital have combined with the problems:A pilot unit survey that the current medical support combined with development main existing medical support of traditional Chinese medicine combined with still needs a complete legal system,lack of talent training,audit,compensation system,the lack of medical insurance system,shortage of the number of practitioners,such problems as lack of professionalism.Status quo of elderly residents'demand and cognition for TCM medical care combination:1.Demand for TCM medical care combination service of elderly residents:73.4%of elderly residents have demand for TCM medical care combination service,while 26.6%of elderly residents have no demand for TCM medical care combination service for the time being.2.Elderly residents'cognition of TCM combination:59.0%of the elderly are unclear about community TCM combination.Only 4.0%of the elderly residents have a good understanding of TCM and have used it.12.0%of the elderly residents had a good understanding of TCM,and 25.0%had some knowledge of TCM.Research conclusion:1.The development trend of TCM medical care combination in Beijing is good:(1)Elderly residents have demands for TCM medical care combination service.The survey results show that 72.8%of the elderly residents have a demand for the combined services of TCM.and the demand for most of the combined services of TCM is 40%?50%.(2)The combined operations of TCM in Beijing are diversified.Beijing medical have combined with the operation mode of traditional Chinese medicine mainly includes:establishing the Chinese medicine health care zone,development of traditional Chinese medicine health care package,add endowment association of traditional Chinese medicine health,establishing "card package strongholds" series traditional Chinese medicine health care model,establishing the combination of traditional Chinese medicine health endowment online these five service way,operation mode and varied.(3)Participation of TCM service content as an important part of the service content of combining medical care with nursing care.The Chinese medical pilot unit provides a combination of practice of traditional Chinese medicine combining services include 19 species,among them,the health management service,establishing health records,rehabilitation guidance services,health care consulting services,Chinese medicine and medical these five services to provide more service content is an important content of Chinese medicine to participate in medical combination of services.(4)Rich content of TCM services in the combination of medical and nursing care.Among the surveyed pilot units integrating TCM with nursing,there are many types of TCM,and 21 types of TCM services are provided.Among them,massage service,cupping service,acupuncture service,TCM health and elderly care service area--chronic disease prevention and treatment,and scraping service are provided in a large number.In addition,more than 50 percent of the pilot units integrating TCM with nursing can provide 10 TCM services.(5)Institutions engaged in combined medical and nursing services attach importance to the use of TCM services.Through field research and questionnaire survey,it is found that community health service institutions,hospitals,clinics,outpatient departments,community pension service stations,other types of institutions and pension service companies can provide TCM services.(6)Appropriate technologies of traditional Chinese medicine for the elderly have been promoted to some extent.Through the investigation,it is found that among the appropriate techniques for the elderly,He Puren fire needle,Wang Weidong-Traditional Chinese medicine psychotherapy,He Huiwu tube needle,and The tuina department-Meridian Foot therapy of Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine,Jian guofeng-Chiropractic have been promoted to some degree in clinics,outpatient departments and community health service institutions.However,at present,more than 80%of the pilot units of TCM combination have not yet promoted the ten TCM appropriate technologies for the elderly.2.Problems in the development of TCM medical care combination in Beijing:Elderly residents' awareness of TCM medical care combination is low;The management mechanism is not perfect and lacks uniform service standard and management standard;The legal system is not perfect,and the unified long-term care insurance system has not been established.Nursing staff shortage,single service content;High operating costs.3.traditional Chinese medicine,there were more health management services,health record establishment services,rehabilitation guidance services,health consultation services and traditional Chinese medicine medical services,and the family doctor contract services--home bed and hospice care services were the least.3.Content of TCM services:There are more TCM massage services,cupping services,acupuncture and moxibustion services,TCM health and elderly care service area-chronic disease prevention and scrapping services in the investigated TCM medical and nursing pilot units,but fewer acupotomology services and acupoint injection services.4.Suitable for the elderly to promote Chinese medicine appropriate technology:The 10 selected by the Beijing municipal administration of traditional Chinese medicine of traditional Chinese medicine appropriate technology is suitable for the elderly,He Wuhui-hayes fire needle,dongzhimen hospital affiliated to Beijing university of Chinese medicine massage-meridian leg foot therapy,Wang Weidongpromotes more TCM psychotherapy,GeFengLin-pinches bar clap play and zhong-min leiberyllium needling both suitable for the elderly within the pilot units provide less appropriate technology.5.Beijing Chinese medicine hospital have combined with the problems:A pilot unit survey that the current medical support combined with development main existing medical support of traditional Chinese medicine combined with still needs a complete legal system,lack of talent training,audit,compensation system,the lack of medical insurance system,shortage of the number of practitioners,such problems as lack of professionalism.Status quo of elderly residents' demand and cognition for TCM medical care combination:1.Demand for TCM medical care combination service of elderly residents:73.4%of elderly residents have demand for TCM medical care combination service,while 26.6%of elderly residents have no demand for TCM medical care combination service for the time being.2.Elderly residents' cognition of TCM combination:59.0%of the elderly are unclear about community TCM combination.Only 4.0%of the elderly residents have a good understanding of TCM and have used it.12.0%of the elderly residents had a good understanding of TCM,and 25.0%had some knowledge of TCM.Research conclusion:1.The development trend of TCM medical care combination in Beijing is good:(1)Elderly residents have demands for TCM medical care combination service.The survey results show that 72.8%of the elderly residents have a demand for the combined services of TCM.and the demand for most of the combined services of TCM is 40%?50%.(2)The combined operations of TCM in Beijing are diversified.Beijing medical have combined with the operation mode of traditional Chinese medicine mainly includes:establishing the Chinese medicine health care zone,development of traditional Chinese medicine health care package,add endowment association of traditional Chinese medicine health,establishing "card package strongholds" series traditional Chinese medicine health care model,establishing the combination of traditional Chinese medicine health endowment online these five service way,operation mode and varied.(3)Participation of TCM service content as an important part of the service content of combining medical care with nursing care.The Chinese medical pilot unit provides a combination of practice of traditional Chinese medicine combining services include 19 species,among them,the health management service,establishing health records,rehabilitation guidance services,health care consulting services,Chinese medicine and medical these five services to provide more service content is an important content of Chinese medicine to participate in medical combination of services.(4)Rich content of TCM services in the combination of medical and nursing care.Among the surveyed pilot units integrating TCM with nursing,there are many types of TCM,and 21 types of TCM services are provided.Among them,massage service,cupping service,acupuncture service,TCM health and elderly care service area--chronic disease prevention and treatment,and scraping service are provided in a large number.In addition,more than 50 percent of the pilot units integrating TCM with nursing can provide 10 TCM services.(5)Institutions engaged in combined medical and nursing services attach importance to the use of TCM services.Through field research and questionnaire survey,it is found that community health service institutions,hospitals,clinics,outpatient departments,community pension service stations,other types of institutions and pension service companies can provide TCM services.(6)Appropriate technologies of traditional Chinese medicine for the elderly have been promoted to some extent.Through the investigation,it is found that among the appropriate techniques for the elderly,He Puren fire needle,Wang Weidong-Traditional Chinese medicine psychotherapy,He Huiwu tube needle,and The tuina department-Meridian Foot therapy of Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine,Jian guofeng-Chiropractic have been promoted to some degree in clinics,outpatient departments and community health service institutions.However,at present,more than 80%of the pilot units of TCM combination have not yet promoted the ten TCM appropriate technologies for the elderly.2.Problems in the development of TCM medical care combination in Beijing:Elderly residents' awareness of TCM medical care combination is low;The management mechanism is not perfect and lacks uniform service standard and management standard;The legal system is not perfect,and the unified long-term care insurance system has not been established.Nursing staff shortage,single service content;High operating costs.3.Suggestions:In view of the existing problems,it is proposed to strengthen publicity and education and popularization of science to improve the elderly residents' cognition of the combination of TCM medicine and nursing;Strengthening cooperation among departments and developing uniform standards;Accelerate the construction of long-term care insurance;Strengthen the construction of nursing staff,improve the salary and welfare system;Improve the financing mechanism,reduce operating costs related Suggestions.Research limitations:(1)The Beijing Chinese medicine medical support combined with present situation investigation to medicine and medical support pilot unit combination and elderly residents,the supplier around d have combined with the operation mode of traditional Chinese medicine,the medical service content,service content,suitable for the elderly Chinese medicine of traditional Chinese medicine appropriate technology popularization as well as the existing problems from four aspects.Data statistics have not been carried out on specific personnel allocation and infrastructure construction of the pilot units combining TCM with medical care,and the analysis of the current situation is not comprehensive enough.Analysis of the elderly residents' demand for and cognition of the combined services of traditional Chinese medicine and nursing care.The questionnaire involved few questions and only focused on the combined services of traditional Chinese medicine and nursing care and traditional Chinese medicine,which could not fully understand the needs of elderly residents.(2)Due to the reasons of funds and personnel,the two questionnaires used in this study have relatively small sample sizes,and the analysis results may be biased. |
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