中医医疗卫生适宜技术在社区推广应用的综合效果评价

目的 对中医医疗卫生适宜技术在社区的推广应用效果情况进行调查和综合评价. 方法 根据自行设计的调查问卷,在对调查人员进行培训的基础上,由专职人员对接受中医社区医疗卫生适宜技术治疗和服务的441名患者进行现场调查,并根据调查结果对中医医疗卫生适宜技术的推广绩效、治疗有效率、卫生经济学及患者满意度进行综合评价. 结果 患者对所接受的社区中医医疗卫生适宜技术治疗服务的总满意率为86.15%,各种不同的适宜技术治疗服务的满意率在80.0%～95.8%之间.患者的文化程度、不同费用支付方式对治疗和服务满意度有显著的影响,差异有统计学意义（P〈0.01）. 结论 中医医疗卫生适宜技术在社区的推广应用效果较好、成本低,病人比较满意.

The evaluation on general effects of appropriate health technique of TCM in the process of application in community health service

Objective To evaluate the general effects of appropriate health technique （AHT） of TCM in the process of application in community health service （CHS）. Methods Based on the questionnaire designed by ourselves, we train those who were supposed to be investigated. Afterward,441 of those who were ever treated by appropriate health technique of TCM to community health service took a real time investigation in light of the guidance of staff. The results were then used to make a general evaluation of appropriate health technique in terms of application achievements, effective rate, hygienic economies and patients satisfaction. Results The total degree of satisfaction of patients who were treated by appropriate health technique of TCM to community health service was 86. 15%. The satisfaction of different appropriate health techniques was around 80%- 95.8%. Patients＇ education situation and the mode of payment had significant effect on the degree of the satisfaction（P 〈0. 01）. Conclusion The application of appropriate health technique of TCM in community health service got a fine effect, a low payment and a nice judgment.