Research On The Pathway And Model Of Traditional Chinese Medicine To Participate The New Rural Cooperative Medical System And Model

Objective:This study is a theoretical exploration and empirical research, which based on Traditional Chinese Medicine to participate in the new rural cooperative medical system (NRCMS) Model and Approach, building on the basis of different management tools and the different forms of participation, to around comprehensive analysis of the implementation of play strategies to promote the role of Chinese medicine, as well as the effects of Chinese medicine in NRCMS and many other factors. On this basis, to evaluate the effectiveness of the present around the promotion of Chinese medicine to participate in NRCMS strategy to identify the medical role to play in NRCMS affect a variety of factors, which proposed to develop the promotion of Chinese medicine effective way to participate in NRCMS and mode.Methods(1) Library and Information AnalysisBroad access to domestic and foreign policy on traditional medicine in health care system through theoretical research and practical experience, and health-related services, using of literature, summarized the main points learning from the experiences and practices, and identify research. The work may be a breakthrough in the direction.(2) Field survey methods①Survey:According to research, the questionnaire will focus on residents and medical personnel to promote the level of understanding and evaluation of the application of the policy of the new rural cooperative medical system of Traditional Chinese Medicine, as well as residents, medical personnel use and attitudes and intentions of the Chinese medicine services.②Semi-structured interviews:semi-structured interviews of residents and medical staff attitudes and intentions to use and provide Chinese medicine services. Medical institutions, medical personnel in the provision of medical services, residents use the problems in the Chinese medicine services and impact factors of interviews to supplement information not covered in the questionnaire or difficult to reflect.(3)In-depth interviewThe survey area, the relevant person include:in charge of each county administrative department of health, Chinese medicine hospital managers, township hospitals managers and village health doctors. Learning counties to promote NRCMS in medicine play a role in policy content; to develop the starting point of these pathways and models, implementation effects; the problems and obstacles in the implementation process.(4) Focus group discussionsTo discuss the key factors affecting NRCMS that play the key role of Chinese medicine; the promotion Chinese medicine in NRCMS, policy-making methods, approaches and implementation of the effect evaluation, focus group discussions.(5) Comparison of analytical methodsDifferent parts of the promotion of Chinese medicine to participate in NRCMS way with mode and find their own similarities and differences, and summarizes the impacts and causes of their own environment in which policy-makers.(6) Statistical analysis methodsConsolidation, coding, as needed, on the other statistics of the questionnaire and collected Epidata3.0(English) data entry, comprehensive utilization of SPSS12.0(English version), and EXCEL two kinds of statistical software for data analysis and processing, systematic, structured; descriptive and multivariate statistical analysis of quantitative data.Results(1) Average number of prescriptions of out-patient Chinese medicine accounted for52.18%, which of the prescription of the total number of hospital medicine. Average number of prescriptions accounted for32.84%of the prescription of the total number of the amount of traditional Chinese medicine sales mean total drug sales71.06%of the total, the amount of sales of Chinese Herbal Medicine Chinese medicine sales amount of63.59%in Xishui County, Anlu and Dangyang. Chinese medicine hospital. Township hospitals out-patient Chinese medicine (including medicine) and the number of prescriptions an average of18.75%.(2)87.65percent of rural residents have greater demand for traditional Chinese medicine clinic projects,95.26percent of rural residents hope to carry out in primary health care services in medical clinic services,83.16percent of rural residents hope to further improve the new rural cooperative reimbursement of the medical clinic project scope,100percent of the rural population can further improve the reimbursement of the new rural cooperative medical diagnosis and treatment projects,100percent of rural residents hope to further improve the scope and scale of Chinese medicine clinic project reimbursement of hospitalization expenses,84.27percent rural residents hope to raise the number of primary health care sector "old Chinese",76.29percent of rural residents hope in primary health care service agencies to carry out the integrative medicine clinic project.(3)Serious shortage of highly educated, high titles, and clinics experienced Traditional Chinese Medicine (TCM) practitioners in rural areas.(4) TCM to participate in the NRCMS through:medicine in primary health care service agencies to promote appropriate technology in Xishui County. TCM to participate in the way of NRCMS:the preference policy of reimbursement and the scope of NRCMS of Traditional Chinese Medicine in Anlu City. The way in medicine involved in NRCMS:primary health care institutions personnel training in Dangyang.(5) Chinese medicine to participate in the management model of NRCMS:outpatient and inpatient clinics of Chinese medicine reimbursement of scope and scale, carried out in medical services and appropriate technology scope and reimbursement, in medical clinics and hospital reimbursement methods in Xishui County, Anlu Dangyang.(6) Preference policy of NRCMS in the pharmaceutical reimbursement and scope Prescription and sales of medical institutions, the role of the orientation, the high utilization rate of patients with Chinese medicine and its projects.Conclusions(1) The preference policy of reimbursement and the scope of NRCMS of TCM Prescription and sales of medical institutions, the role of the orientation, the high utilization rate of patients with Chinese medicine and its projects.(2) The relevant policies of the rural residents of NRCMS, tilt medicine in greater demand. Different Chinese medicine to participate in the way of NRCMS and its management model has little effect on the rate of outpatient visits, hospitalization rates.(3) The compensation policy of the demand side as the mainstay of Chinese medicine services are in place, but the medicine had been widely used in NRCMS medical institutions.(4)The lack of grassroots medical institutions of Chinese medicine and its professional and technical personnel that is difficult to appropriate medical clinic project and its technology promotion. The farmers’awareness of Chinese medicine services, and has not been significantly improved, the characteristic advantages of Chinese medicine is not in the new rural cooperative medical system effectively.(5)Using a combination of Chinese medicine outpatient and inpatient clinics reimbursement of scope and scale, to expand in the pharmaceutical services and appropriate technologies, innovation in medicine out-patient and hospital reimbursement method, efforts to train primary health care sector of TCM clinic personnel will help to improve The application of Chinese medicine in NRCMS.