| 引用本文: |
赵伟菡,胡寒旭,严豪,等.基层医务人员使用中医药适宜技术影响因素的定性比较分析*[J].中国卫生经济,2022,41(12):41-45.[点击复制] |
Zhao Wei-han,Hu Han-xu,Yan Hao,et al.Research on the Influencing Factors of the Use of Appropriate Techniques of Traditional Chinese Medicine by Primary Medical Staff Based on Qualitative Comparative Analysis[J].CHINESE HEALTH ECONOMICS,2022,41(12):41-45.[点击复制] |
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| 摘要: |
| 目的：定性分析影响基层医护人员使用中医药适宜技术的影响因素，探索影响其使用中医适宜技术的必要条件与条件组合，为推动中医药适宜技术在基层医疗机构扩散提供理论依据。方法：通过文献综述和专家访谈，制定调查问卷。 采用整群随机抽样方法，对山东省莱州市和贵州省贵阳市清镇县的26家基层医疗机构的191名基层医护人员进行问卷调查， 运用模糊集定性比较分析方法进行数据分析。结果：“医保”和“疗效”是影响基层医务人员使用中医适宜技术的必要条件， 同时存在3条高覆盖率路径：职称促进型、患者导向型和收入促进型。结论：为提高基层医护人员使用中医药适宜技术的积极性，需要多部门联合，科学遴选疗效确切的中医药适宜技术进行推广，同时，扩大中医适宜技术的医保覆盖范围和补偿力度；从医务人员需求入手，在职称晋升中考量中医药适宜技术使用等因素。 |
| 关键词: 基层医务人员 中医适宜技术 定性比较分析方法 |
| DOI： |
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| 基金项目:国家自然科学基金项目(7207040925) |
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| Research on the Influencing Factors of the Use of Appropriate Techniques of Traditional Chinese Medicine by Primary Medical Staff Based on Qualitative Comparative Analysis |
| Zhao Wei-han,Hu Han-xu,Yan Hao,Sisi Chen,Zhao ran,NIE han-lin,Tu ze-Gui,AHI Xue-feng |
| (School of Management,Beijing University of Chinese Medicine,Beijing 100029 ,China) |
| Abstract: |
| Objective: It analyzed the influence factors affecting use of appropriate techniques of Traditional Chinese Medicine(TCM) by primary health workers through qualitative analysis，and explored necessary conditions and combinations of conditions that affect the use of appropriate techniques of TCM，so as to provide theoretical basis for the diffusion of appropriate techniques TCM in primary health institutions. Methods: The questionnaire was generated by literature review and expert interviews. A total of 191 primary health workers were selected from 26 primary healthcare institutions in Laizhou City，Shandong Province，and Qingzhen County，Guizhou Province through the cluster random sampling method. The data were analyzed by fuzzy set qualitative comparative analysis. Results: Medical insurance and clinical efficacy were the necessary conditions that affect the use of appropriate techniques of TCM by primary health staffs. Meanwhile，title promotion type，patient orientation type and income promotion type are three high coverage paths. Conclusion: In order to improve their enthusiasm for using appropriate techniques of TCM，it is necessary to scientifically select appropriate techniques of TCM with accurate efficacy，expand the coverage of medical insurance and increase the proportion of reimbursement for appropriate techniques of TCM by multi-department cooperation. Incentive measures should be formulated from the demand of primary health workers. In the promotion of professional titles，factors such as the use of appropriate techniques of TCM should be considered. |
| Key words: primary healthcare staff appropriate technique of traditional Chinese medicine Qualitative Comparative Analysis |
