There are not enough popular doctors in the community traditional Chinese Medicine Center

In recent years, TCM services have entered more and more communities Nowadays, what is the status quo of TCM services? Over the past 10 years, have you encountered bottlenecks? Recently, a survey of the current situation of the basic level traditional Chinese medicine (TCM) centers by the students of Shanghai Pharmaceutical (601607, Guba) college shows that the basic level TCM centers are very popular, but they are facing a talent shortage at present For this reason, the reporter of Youth Daily specially visited some community traditional Chinese medicine centers in Shanghai and found that the main reason why traditional Chinese medicine doctors are difficult to stay in community hospitals is the low salary and heavy workload Young people's Daily reporter Yan Liuqing and Zhou Shengjie [reporter visit 1] the Chinese Traditional Medicine Museum is in the Chinese style Every summer, there are a large number of students visiting the hospital 80% of the interviewees agree that the "survey of the current situation of basic level Chinese medicine museums" is the survey result of seven students from Shanghai Medical College They found that most of the patients were middle-aged and elderly Some people regard traditional Chinese medicine treatment as a way of life They decoction medicine every day and do acupuncture treatment every other time Regular health services will also be provided Mao Liling, the leader of the small team, is a third year student majoring in clinical medicine Maoliling said that they mainly visited six hospitals, including Malu community health center in Jiading, Zhaoxiang hospital in Qingpu, Huaxin hospital, Chedun in Songjiang, Sheshan hospital, etc The survey shows that the vast majority of people are satisfied with the environment of traditional Chinese medicine More than half of them choose "very satisfied" As for the recognition of diagnosis and treatment level of community TCM doctors, the survey shows that 32% of the respondents think "good", 53% think "good" In order to verify the investigation of these students, a few days ago, the reporter of youth daily visited some community traditional Chinese medicine libraries in Yangpu, Xuhui and other districts and counties, and found that traditional Chinese medicine health services are very popular with the elderly Two years ago, the renovation of Xujiahui (002561, Guba) Street traditional Chinese medicine hall was completed In her 75s, grandma Yang often comes to the community hospital for acupuncture and traditional Chinese medicine Yang said that in the past, when the elderly needed acupuncture, they had to go to the neighborhood committee to find a "temporary doctor" Now the community health service center has a traditional Chinese Medicine Museum, which is much more convenient Today, the "traditional Chinese Medicine Museum" provides acupuncture, cupping, decoction, wormwood, massage and other treatments Every summer, it's very busy Every other week, grandma Yang comes for a second visit, "the doctors are very polite." On the third floor of yinhang community health service center in Yangpu District, the reporter of Youth Daily found that the diagnosis and treatment area of traditional Chinese medicine occupied four outpatient rooms, including internal medicine of traditional Chinese medicine, acupuncture and massage room and rehabilitation department, among which massage room occupied two rooms "Traditional Chinese medicine department" written in Xingkai is hung on the door frame of imitation bamboo curtain, and there are Chinese knots and calligraphy works on the corridor, which is full of "Chinese style" At 3 p.m., there were fewer patients in the traditional Chinese medicine department Dr Yang in the acupuncture and massage room was doing acupuncture treatment for an old man, while the doctor in the traditional Chinese medicine outpatient room had just sent a patient away and had a drink of water in the thermos cup while there was no patient He said that there are fewer patients in winter than in summer, and there may be rest time after 3 p.m "in summer, patients are busy from early to late." Ms Qin, who is in her 50s, has been suffering from poor sleep quality recently, so she came here with some traditional Chinese medicine to recuperate her body She told the Youth Daily that she usually came to see the dispensing of traditional Chinese medicine in the morning, and the number of people in line was about 45 "If you go to the internal medicine department, you can wait 15 minutes But in summer, when there are many people, doctors are very busy If only there were more doctors " "Traditional Chinese medicine has low requirements for the site, which is safe, easy to promote and effective." In addition to the community health service center, there is a great flow of people in the community service point Asked about the flow of people, Wang Zhiliang, director of Xujiahui community health service center, used the word "a city with a family" One day, he went to the community service site under the community hospital, and saw that the number of patients was like a tide, and the hospital "burst." For fear of safety problems, he quickly equipped another Chinese medicine It is understood that since the establishment of traditional Chinese medicine treatment projects in the community, the number of people coming to see a doctor has increased rapidly According to the data of Xujiahui community health service center, 68000 people registered in 2012 and 96000 people registered in 2013 5 visits per registration There were 114000 people treated with traditional Chinese medicine, reaching 136000 in 2013 The number of visits increased by 15% a year [reporter visit 2] when the staff is not enough, doctors are busy inserting needles and pulling needles 40% of the interviewees think that there are few TCM doctors These students find that despite the popularity of TCM museums in major communities, there are still some problems The most prominent problem is the inadequate staffing "Our first impression of traditional Chinese medicine is that there are many people." During the investigation, Mao said, they found that every hospital was open from 8:00 to 9:00 every morning Most of the elderly come to see a doctor In their survey, only 3% of the respondents chose "enough staff" and another 40% said "less staff" according to the statistics of "people's opinions on the staffing of traditional Chinese medicine" Zhang a PO, who came to the Tiecun community health service station on Zhenghua road in Yangpu District to prepare antihypertensive drugs, said that she often came to the service station and used traditional Chinese medicine to treat joints for more than a year, twice a week on average However, sometimes it takes more than 20 minutes to wait in line for grandma Zhang, who is over 70 years old, to be fed up "There are few doctors, but recently I saw another doctor coming from them It should be that they have increased their staff." Yangpu District yinhang community health service center is the demonstration site of traditional Chinese medicine service community in Yangpu City, which is specially equipped with a "disease prevention studio", with a total of 19 traditional Chinese medicine staff, and the number of staff is in the forefront of all community traditional Chinese medicine libraries in the city Even so, Hua Yankun, deputy executive director of the health service center in charge of traditional Chinese medicine, said in an interview with the Youth Daily recently: "the number of outpatient clinics of traditional Chinese medicine is on the rise, and the staff is still insufficient." He introduced that, just like the Chinese medicine, which is good at acupuncture, there are nine beds in the Department of traditional Chinese medicine, which are usually full The doctor starts to prick the acupuncture from the first patient, and when the last prick is finished, the needle retention time of the first patient is almost finished, and then he starts to pull out the needle, "so the doctor basically has no breathing time In addition, traditional Chinese medicine stresses the treatment of winter diseases in summer, so there are more patients in summer Doctors usually have lunch after 1 p.m " At the same time, the total outpatient volume of the health service center in 2013 was 770000 person times, an increase of 50000 person times over 2012, "while the outpatient volume of traditional Chinese medicine also increased by 3%, the demand increased, and correspondingly more people are needed." However, with the number of patients increasing year by year, the number of TCM staff in community hospitals has not increased accordingly In Xujiahui community health service center and 6 service stations, there are only 15 TCM doctors in total [difficult] the workload is large, the treatment is low, and it's hard to stay in the community hospital According to the staff of Xujiahui community health service center, in the normal period, each doctor of traditional Chinese medicine receives 80 people a day on average In addition, the residents' requirements for TCM services are more diversified In recent years, TCM services have been increasing In addition to traditional acupuncture, there are also "application" programs for asthma patients, and doctors' reception pressure and work pressure have also increased "The doctor's meal time is compressed He is busy from morning to night." Said Hou Xiaoqi, director of traditional Chinese Medicine Department of Xujiahui community health center Although the demand is large, it is difficult for community hospitals to supply "fresh blood" The head of a community service center told reporters that the treatment of the community hospital was average Last year, only one doctor of traditional Chinese medicine was recruited in the community hospital Last year, the city added five top three hospitals, big hospitals "covet" the doctors of community hospitals After the young doctors "matured" in the street hospital, they were poached by the top three hospital Moreover, some community hospitals are located in the center of the city, with high cost of living, and the hospitals are unable to provide housing and other benefits, resulting in "no retention of people" in community hospitals [outlet] train nurses, transform western medicine into "traditional Chinese medicine"? Lack of resources, community hospitals can only find another way Hua Yankun, the community health service center of yinhang, said that in order to make up for the gap in the number of people, they are still recruiting traditional Chinese medicine In addition, some jobs that do not require high professional knowledge are gradually training nurses to do, "for example, it usually takes 45 minutes to do a physical identification investigation and inquiry, but it does not require high knowledge of traditional Chinese medicine, so such jobs are gradually handed over to trained nurses TCM can save time to see more patients " Hua Yankun said In Xujiahui community health service center, the hospital has another consideration: to provide TCM training for western medicine "There is a great demand for traditional Chinese medicine In order to provide better health care services to the public, we should not only have full-time TCM doctors Western medicine should also learn the knowledge of traditional Chinese medicine When residents come to see a doctor, give health advice " Wang Zhiliang, director of Xujiahui community health service center, said How to keep up with the system? From the perspective of simple social survey, the resources and time of college students are limited, and the research report is not mature However, they raised a concern It is an exploration in the medical reform to treat the disease before it is cured After several years of promotion, the effect is obvious and it is gradually on the right track But as college students said in the survey, "a good impression doesn't mean there is no problem." Nowadays, the number of doctors has been greatly increased, and there is a great shortage of TCM talents at the grass-roots level Is there a greater development space for TCM talents, and can community hospitals "retain people"? It is more necessary for the grass-roots TCM treatment to further explore and develop, and for the system to guarantee further follow-up.