上海中心城区社区中医适宜技术应用的政策研究

2008至2009年在上海浦东新区采用政策分析法、问卷调查法和小组访谈法对国家、上海市、浦东新区以及11家社区卫生服务中心4个层面的中医药相关政策进行研究。共有18个国家或部级、5个上海市级、4个浦东新区级以及87个社区卫生服务中心内部的中医药相关政策文件，从中医目标定位、财力、人力和中医适宜技术4个角度进行政策制定，比较全面地保障和促进了社区中医药事业发展，但在社区卫生服务尤其是人才培养、医保政策倾斜和公共卫生领域中医药参与等方面还有待加强和提高，社区对中医药有关政策的落实还存在滞后。

Study on policies to implement proper technology of traditional Chinese medicine in communities in central city of Shanghai

We studied policies of traditional Chinese medicine (TCM) on four levels ( national,Shanghai city, Pudong New District and community health services (CHS)) from 2008 to 2009 with the method of literature review,questionnaire survey and group interview. 18 national, 5 Shanghai's, 4 Pudong New District's and 87 CHS' TCM related policies were identified. By defining the development target,financial capability, human resource and proper technology of TCM care, those policies ensured and prompted the progression of community TCM services. Yet TCM policy fulfill in community remained lagged,and talent cultivating, medical insurance support and TCM participating in public health needed to be improved.