CAJ | 학술논문

目的：分析社区医院开展中医药服务的相关因素，为进一步加强中医药在社区卫生服务中的运用和发展提供科学的决策依据。方法选取2009-2012年的全院门诊数据，统计出每月的总门诊人次、中医医疗收入、中成药收入、中草药收入、开展的中医项目数、中医人员配置和中医药品的配置等数据，应用SPSS 19．0统计软件对数据进行因子分析。结果中医人员和中医设备配置为影响社区医院开展中医药服务的第一因素，其特征值为3．187，加强社区医院中医药队伍建设，提高医务人员的业务水平，能使更多医务人员开展中医药服务，配备中医医疗设备为中医药服务项目的开展提供硬件保障；中医药品配备为影响社区医院开展中医药服务的第二因素，其特征值为2．474，种类齐全的中医药品有利于开展中医全科医疗服务；中成药收入是目前社区医院中医业务收入的主要影响者，是影响社区医院开展中医药服务的第三因素，其特征值为1．996，源于中成药易于被患者和非中医医务人员接受，其用量明显大于中草药。结论社区医院开展中医药服务，首先应考虑中医药人才队伍的建设，中医设备的配置是开展中医非药物治疗项目的必要条件，中医药品的配备特别是中药饮片品种是否齐全会影响社区医院的中医药服务的开展。
목적：분석사구의원개전중의약복무적상관인소，위진일보가강중의약재사구위생복무중적운용화발전제공과학적결책의거。방법선취2009-2012년적전원문진수거，통계출매월적총문진인차、중의의료수입、중성약수입、중초약수입、개전적중의항목수、중의인원배치화중의약품적배치등수거，응용SPSS 19．0통계연건대수거진행인자분석。결과중의인원화중의설비배치위영향사구의원개전중의약복무적제일인소，기특정치위3．187，가강사구의원중의약대오건설，제고의무인원적업무수평，능사경다의무인원개전중의약복무，배비중의의료설비위중의약복무항목적개전제공경건보장；중의약품배비위영향사구의원개전중의약복무적제이인소，기특정치위2．474，충류제전적중의약품유리우개전중의전과의료복무；중성약수입시목전사구의원중의업무수입적주요영향자，시영향사구의원개전중의약복무적제삼인소，기특정치위1．996，원우중성약역우피환자화비중의의무인원접수，기용량명현대우중초약。결론사구의원개전중의약복무，수선응고필중의약인재대오적건설，중의설비적배치시개전중의비약물치료항목적필요조건，중의약품적배비특별시중약음편품충시부제전회영향사구의원적중의약복무적개전。
Objective To analyze relatedfactors of Chinese medicine hospitals to carry out community service, in order to provide a scientific basis for decision making to further strengthen the traditional Chinese medicine in community health serv-ices in the application and development .Methods Selectingoutpatient data of a hospital from 2009 to 2012 , calculating total outpatient visitors of each month, income of Chinese medicine treatment, incomeof Chinese patent medicine, income of Chinese herbal pieces, project of traditional Chinese medicine, configuration of the Chinese medical staff, and configuration of TCM drugs, analyzing the data using SPSS 19.0.Results Traditional Chinese medical personnel and equipment configured was the first related factor of development of Chinese medicine services in the community hospital.Its eigenvalues are 3.187, Strengthe-ningthe traditional Chinese medicine team of community hospital , improving the professional level of medical staff, That allows more medical personnel to participate in its service , equips a TCM medical equipment to provide hardware protection for Chinese medicine services.Configuration of TCM drugs is a second factor affecting Chinese medicine services of community hospital.Its eigenvalues are 2.474, A wide selection of Chinese medicine drugs range is conducive to traditional Chinese medicine in general medical services.Proprietary Chinese medicines revenues are the main effects of traditional Chinese medicine in community hospi-tals, is the third factor affecting traditional Chinese medicine services of community hospital.Its eigenvalues are 1.996, Due to Chinese patent medicines is easier to be accepted by Patient and Non-traditional Chinese medicine practitioners , its dosage was significantly greater than the Chinese herbal medicine.Conclusion The community hospitals should first consider the construc-tion of talents of Chinese medicine to develop Chinese medicine services , TCM configuration of equipment is a requirement for non-drug treatment project of traditional Chinese medicine, the varieties of traditional Chinese medicine, particularly the Chinese Herbal Pieces will affect the development of the traditional Chinese medicine of community hospital.