Investigation On The Building Of Speciality Of Traditional Chinese Medicine In County-Level Hospitals Of Traditional Chinese Medicine In Guangdong Province

The speciality of traditional Chinese medicine(TCM), which has a long history in China, is an important component of TCM. County-level hospitals of TCM are grassroot institutions of TCM, and the building of speciality of TCM in county-level hospital of TCM has a profound impact on the whole development of TCM. In the past, investigations were mostly limited to the theoretical analyses or case reports, which lacked of systematic and comprehensive analysis.This study used literature research, questionnaire survey and statistical analysis. By searching the relevant literatures over the past 20 years to know the status of basic research, this research studied the situation of the building of 34 county-level and 5 city-level hospitals of TCM in Guangzhou, Zhaoqing, Shaoguan, Yangjiang and Shantou City, and studied 20 county-level hospitals of TCM that have speciality of TCM, focusing on medical condition, personnel, scientific research, preparations produced in hospital, regional differences, and making comparison with that of 5 city-level to understand the existing problems of the building of speciality of TCM in county-level hospitals in Guangdong province. In data processing, this study used t test, nonparametric test, correlation analysis and regression analysis.This study concludes that problems existing in the building of speciality of TCM in county-level hospitals of TCM in Guangdong are as follows:(1)Plan of speciality development needs to be optimized. The proportion of speciality built is not high, lacking of a reasonable selection, and the level of development needs to be improved. (2)The building of academic team remains to be improved. Shortage of expert and an uncompleted combination of various titles, academic leader and medical expert is playing a dual role of manager, academic heir in speciality building does not receive enough attention. (3)Scientific research capacity needs to be improved. Speciality staff fails to recognize the importance of scientific research, but the day-to-day medical service, and professional technical teams are currently training mainly concentrated on the area of health care.(4)Chinese medicine preparation produced in hospital is facing development bottlenecks. The management of preparation produced in hospitals is referenced to the criteria of new drug, which could not reflect the rules and characteristics of TCM, so that a lot of hospitals abandoned to declare and develop preparations. (5)Publicity awareness needs to be enhanced. Not enough quality, timeliness insufficient and ways single. (6)Speciality building regional difference exists. The building of speciality of the Pearl River Delta region is better than that of the northern part of Guangdong province.This study puts forward suggestions to promote the building of speciality of county-level hospitals of TCM in Guangdong as follows:(1)Strengthen the planning and management of speciality of TCM. (2)Improve the building of personnel. (3)Enhance the level of scientific research. (4)Optimize the development of preparations produced in hospitals. (5)Pay attention to propaganda work. (6)Focus on the building of speciality of TCM in underdeveloped areas. In the future, the building of speciality of TCM in county-level hospitals could focus on the health industry, optimize the single-disease management and strengthen influence in community health service.The building of speciality of TCM in Guangdong is the priority of the development of TCM. In such an increasingly competitive healthcare market, the only way to develop is to highlight the characteristics, so that TCM would have a brighter future.