中医“治未病”辨识评估类设备现状分析
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摘要
目的了解中医"治未病"辨识评估类设备的现状及市场需求。方法采用问卷调研方法,于2017年12月—2018年2月对全国各省市的中医医院、养生保健机构及其他健康相关机构开展调研,共计调研658家机构的12 423名中医"治未病"设备的受用者。结果除中医体质辨识系统(378台,60.87%)外,其他设备购置率均低于35%;个体生命状态测评类设备常用频率(213台,50.17%)高于中医体检类设备(356台,35.89%)。辨识评估类设备存在接受度低和操作时间长的问题,受用者对其总体满意度较高,对"费用"满意度(11 212人次,78.72%)稍低。结论辨识评估类设备的购置及使用情况良好,未来应从技术要求、标准体系完善等多方面努力,为其研发、推广提供支撑,满足广大群众对中医"治未病"服务的需求。
Objective To examine the status quo of utilization and market demand of equipments for identification of preclinical disease and effect evaluation on preventive treatment based on traditional Chinese medicine(TCM) ideology.Methods Using random cluster sampling, we conducted a questionnaire survey among 658 TCM hospitals and health care institutions and 12 423 people receiving TCM related examinations in 25 province-level regions across China between December 2017 and February 2018. Results For the hospitals and institutions surveyed, the allocation rates of all types of TCM-related detection equipments were less than 35.00%, except for the allocation rate of the TCM constitution identification apparatus(378 sets, 60.87%). The utilization rate of personal life status assessment equipments(213 sets,50.17%) was higher than that of TCM physical examination equipments(356 sets, 35.89%). Low acceptability and long operation time were among the issues preventing the TCM-related detection equipments from pervasive application indicated by medical staff of the institutions. The people receiving examinations with the TCM-related equipments were generally satisfied to the detections but 78.72% of the examinees were not satisfied with the cost of the detections. Conclusion The allocation and utilization of equipments for TCM-related identification of pre-clinical disease and effect evaluation on preventive treatment are generally at a good level but comprehensive efforts are needed to promote the development and application of the equipments for TCM-related detections.
Objective To examine the status quo of utilization and market demand of equipments for identification of preclinical disease and effect evaluation on preventive treatment based on traditional Chinese medicine(TCM) ideology.Methods Using random cluster sampling, we conducted a questionnaire survey among 658 TCM hospitals and health care institutions and 12 423 people receiving TCM related examinations in 25 province-level regions across China between December 2017 and February 2018. Results For the hospitals and institutions surveyed, the allocation rates of all types of TCM-related detection equipments were less than 35.00%, except for the allocation rate of the TCM constitution identification apparatus(378 sets, 60.87%). The utilization rate of personal life status assessment equipments(213 sets,50.17%) was higher than that of TCM physical examination equipments(356 sets, 35.89%). Low acceptability and long operation time were among the issues preventing the TCM-related detection equipments from pervasive application indicated by medical staff of the institutions. The people receiving examinations with the TCM-related equipments were generally satisfied to the detections but 78.72% of the examinees were not satisfied with the cost of the detections. Conclusion The allocation and utilization of equipments for TCM-related identification of pre-clinical disease and effect evaluation on preventive treatment are generally at a good level but comprehensive efforts are needed to promote the development and application of the equipments for TCM-related detections.
引文
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[2]牛欣,杨学智,朱庆文,等.中医四诊合参辅助诊断关键技术的数字化、量化研究[J].世界科学技术-中医药现代化,2011,13(1):64-69.
[3]梁浩材.我国预防医学面临的挑战和对策(一)[J].中国公共卫生,1996(12):529-532.
[4]胡镜清,赵婷,徐贵成,等.SM-1A中医四脉脉诊仪脉象诊断准确性的评价[J].世界科学技术(中医药现代化),2011,13(1):74-77.
[5]侯淑涓,王琦,牛欣,等.基于可获取的人体诊断信息脏腑经络辨识在健康医学中的应用(英文)[J].中华中医药杂志,2014,29(5):1730-1734,1754.
[6]凌丹丽.广东部分医院“治未病”服务现状与发展对策研究[D].广州:广州中医药大学,2011.
[7]马晨瑾,王瑜,蒋妍,等.河南省中老年人群医疗保险使用和医疗费用支出情况调查[J].中国公共卫生,2018,34(5):655-659.
[8]江玲,温馨,夏志俊,等.我国创新医疗器械发展宏观环境分析--基于PEST模型[J].中国卫生事业管理,2016,33(7):492-494.
[9]侯淑涓.基于可获取人体诊断信息的脏腑经络辨识关键技术研究[A].中国中西医结合学会诊断专业委员会.中国中西医结合学会第六届全国诊断学术会议论文集[C].中国中西医结合学会诊断专业委员会:中国中西医结合学会,2012:2.
[10]创新中医证实质研究,丰富中医理论内涵,推进中医药现代化--访中医诊断学学科带头人、北京中医药大学陈家旭教授[J].世界中医药,2017,12(3):475-480.
[11]胡镜清.中医医疗器械临床试验中的问题分析及其解决策略[J].首都医药,2011,18(24):4-5.