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目的:了解全省乡镇卫生院中医药服务现状。方法:调查填表与现场调研相结合。结果:2008～2010年全省有乡镇卫生院分别为981、1040、997家,其中,医疗保险定点情况分别为45.3%、47.3%、48.3%;新农合覆盖面分别为93.3%、90.8%、95.9%。中医科的设置为60.4%、57.8%、63.0%;中药房的设置为51.9%、52.3%、54.1%。执业医师(助理)总数分别为10328人、11030人、11477人,其中,中医类别执业医师(助理)分别占15.4%、,15.1%,15.6%。总收入分别为116255、141106、164542万元,其中,中医药收入分别占10.6%、10.5%、10.3%。总门诊量分别为1035、1197、1410万人次;处方总量分别为924、1049、1148万张,其中,中药处方分别占21.3%、21.3%、22.6%。设备总值为分别为38083、46551、103237万元。结论,从全省乡镇卫生院调查情况看,3年来变化最明显的是设备总值明显增长,而在中医科、中药房设置比例、中药处方比例,中医药收入比例及中医类人员比例等体现中医药服务能力指标上均无明显变化,辽宁省乡镇卫生院中医药服务能力还很薄弱。
Objective: To understand the status quo of Chinese medicine service in township hospitals. Methods: Survey fill in the form and field research combined. Results: From 2008 to 2010, there were 981,1040,997 township clinics in the province, of which 45.3%, 47.3% and 48.3% of medical insurance were designated spots respectively; the coverage of NCMS was 93.3% and 90.8% respectively, 95.9%. The settings of Chinese medicine department are 60.4%, 57.8% and 63.0% respectively; the setting of Chinese medicine pharmacy is 51.9%, 52.3% and 54.1% respectively. The total number of practicing doctors (assistants) was 10,328, 11,030 and 11,477, respectively. Among them, 15.4%, 15.1% and 15.6% were Chinese medicine practitioners (assistants) respectively. The total income was 116,255,141,106,164,542 yuan, respectively, of which, Chinese medicine revenue accounted for 10.6%, 10.5%, 10.3%. The total number of outpatient visits was 1035,1197,141 million; the total prescriptions were 924,1049,114.48 million respectively, of which 21.3%, 21.3% and 22.6% respectively. The total value of equipment was 38083,46551,103237 yuan. Conclusion According to the survey conducted by the township hospitals in the province, the most obvious change in the past three years is the marked increase in the total value of equipment. However, the proportion of traditional Chinese medicine prescriptions, traditional Chinese medicine prescriptions, traditional Chinese medicine prescriptions, proportion of traditional Chinese medicine occupations There was no significant change in indicators of TCM service capability, and the service capability of TCM in township hospitals in Liaoning Province was still weak.