通讯作者: 金浪, 18960815579@163.com

DOI：10.12201/bmr.202506.00064

Empirical study on TCM service capacity of primary medical institutions in Fujian Province

• 摘要：目的 本研究旨在通过实地调查和数据分析，基于“结构-过程-结果”框架，探讨福建省基层医疗机构中医药服务的现状和挑战，以期为服务提升提供参考。方法 研究将福建省分为闽东、闽南、闽西、闽北四个区域，每个区域分别选取具有代表性的永泰县、安溪县、长汀县和建阳区的县域医共体进行实证研究，结合定性访谈和定量调查收集数据。结果 县域医共体模式下，上级机构下转人数显著增加，但上转人数仍多于下转，且比例逐年下降，中医医疗和中药类药品收入有所增长，但占比较低，患者经济负担减轻。结论 县域医共体模式在一定程度上解决了基层中医药服务发展的资源问题，通过资源整合、考核管理及激励措施，提升了基层医疗机构中医药服务能力。

  关键词： 县域医共体; 基层医疗机构; 中医药服务; 医疗卫生

   

  Abstract: 【Objective】This study aims to explore the current situation and challenges of TCM services in primary medical institutions in Fujian province based on the structure-process-result framework through field investigation and data analysis, so as to provide reference for service improvement.【Methods】The study divided Fujian province into four regions: Min Dong, Min Nan, Min Xi and Min Bei. Representative county medical communities of Y County, A County, C County and J District were selected in each region for empirical research, and data were collected by combining qualitative interviews and quantitative surveys.【Results】Under the county medical community model, the number of patients transferred from higher-level institutions increased significantly, but the number of patients transferred to higher-level institutions was still more than that transferred to lower-level institutions, and the proportion decreased year by year. The income of TCM medical treatment and Chinese medicine drugs increased, but the proportion was low, and the economic burden of patients was reduced.【Conclusions】To a certain extent, the county-level medical community model has solved the resource problem of the development of TCM services at the grass-roots level. Through resource integration, assessment management and incentive measures, the TCM service capacity of grass-roots medical institutions has been improved.

  Key words: county medical community; primary medical institutions; TCM services; health care

  提交时间：2025-06-24

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• 序号	提交日期	编号	操作
  1	2025-06-04	10.12201/bmr.202506.00064V1	下载

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