A few days ago, at a press conference of the State Administration of Traditional Chinese Medicine, Zhao Wenhua, deputy director of the Department of Medical Affairs and a second-level inspector of the State Administration of Traditional Chinese Medicine, said that grass-roots traditional Chinese medicine services are the foundation of the development of traditional Chinese medicine and the basic guarantee for maintaining the health of the people.
He said that in the past ten years, the State Administration of Traditional Chinese Medicine has actively promoted the implementation of the grass-roots traditional Chinese medicine service capacity improvement project, promoted the continuous improvement of the traditional Chinese medicine grass-roots service system, the service foundation has been significantly consolidated, and the service position has been continuously built, which has better satisfied the masses. The health needs of "convenient to see Chinese medicine, and good Chinese medicine". In the next step, my country will continue to focus on making up for shortcomings, strengths and weaknesses, and solidifying the foundation, and build an "upgraded version" of the grass-roots traditional Chinese medicine service capacity improvement project.
The coverage of grass-roots Chinese medicine has expanded significantly
Zhao Wenhua said that the grassroots traditional Chinese medicine service network tends to be improved. By the end of 2020, 76.7% of the county-level areas in the country have set up public county-level traditional Chinese medicine hospitals; 87% of county-level general hospitals and 64% of county-level maternal and child health service institutions have TCM departments, 85% of community health service stations and 68% of the village clinics are equipped with TCM diagnosis and treatment equipment; there are 5,473 county-level non-public TCM hospitals, 3,544 outpatient departments, 63,000 clinics, and 21,382 TCM clinics on record.
Against this background, my country has initially established a traditional Chinese medicine service system covering urban and rural areas, integrating preventive health care, disease treatment and rehabilitation. As of the end of 2020, there are 36,300 TCM centers across the country, 99% of community health service centers, 98% of township health centers, 90.6% of community health service stations and 74.5% of village clinics are capable of serving TCM. . In addition, 6 traditional Chinese medicine hospitals are included in the scope of "counseling" national medical centers, 20 traditional Chinese medicine hospitals are included in the scope of output hospitals of national regional medical centers, and 8 traditional Chinese medicine projects have been identified as national regional medical center construction projects.
"It is through the above series of reforms that the service capabilities of the traditional Chinese medicine industry have been significantly improved." Zhao Wenhua said. He said that through supporting the infrastructure construction of about 850 county-level traditional Chinese medicine hospitals in recent years, 500 county-level traditional Chinese medicine hospitals have comprehensively improved the comprehensive service capacity building and the service capacity of all the original poor county traditional Chinese medicine hospitals. and comprehensive service capabilities have been significantly improved. By the end of 2020, 85.8% of the team of family doctors were able to provide traditional Chinese medicine services, and the field of traditional Chinese medicine services continued to expand.
Accelerate the development of the Chinese medicine industry in many places
In fact, under the guidance of the central government, the local government has significantly accelerated the distribution of traditional Chinese medicine. Yu Haiyang, director of the Department of Policy, Regulation and Supervision of the State Administration of Traditional Chinese Medicine, said that all localities are paying more and more attention to the development of the traditional Chinese medicine industry. Not only has the specific plan of the "Opinions of the Central Committee of the Communist Party of China and the State Council on Promoting the Inheritance, Innovation and Development of Traditional Chinese Medicine" been issued, but also 26 provinces have formulated and revised local traditional Chinese medicine regulations.
On August 1, the "Regulations on Traditional Chinese Medicine in Shanxi Province" came into effect. Before that, the relevant departments of Shanxi Province and Taiyuan City have successively issued the "Implementation Plan for Building a Strong TCM Province" and the "Implementation Plan for Building a Strong City of Traditional Chinese Medicine", making it clear that Taiyuan will implement 10 projects including the construction of key specialties of traditional Chinese medicine. The special action for the revitalization and development of traditional Chinese medicine has driven the continuous improvement of the service capacity of traditional Chinese medicine in Taiyuan. For example, in terms of improving the service system of traditional Chinese medicine, the above-mentioned regulations clearly “support qualified TCM medical institutions to create national and provincial TCM regional medical centers” and “the people’s governments of cities and counties (cities) divided into districts shall organize at least one An independent Chinese medicine hospital above the second level.”
According to reports, among the 91 agricultural counties (cities) in Shanxi Province, 88 have set up public TCM hospitals, with a coverage rate of 96.7%. The construction project of grassroots TCM halls has achieved full coverage one year ahead of schedule, and a half-hour TCM service circle has been initially established, so that the people can enjoy TCM characteristic medical services at their doorsteps.
Shanghai also recently released the "Shanghai National Demonstration Zone Construction Plan for Comprehensive Reform of Traditional Chinese Medicine", which will focus on exploring and building a new model for the coordinated development of traditional Chinese and Western medicine, a highland for international standardization of traditional Chinese medicine, and efforts to become the source of scientific and technological innovation in traditional Chinese medicine.
It is reported that this time, Shanghai Western Medical University and traditional Chinese medicine colleges jointly established the Innovation Research Institute of Traditional Chinese Medicine and Western Medicine, which takes major clinical problems as the breakthrough point, explores breakthroughs in major key theories, and creates a national-level innovation highland for the convergence of traditional Chinese medicine and Western medicine.
It is worth mentioning that Shanghai is the first country in the country to explore and carry out a 360-degree "in-depth evaluation" of traditional Chinese medicine service processes, characteristic connotations, and quality levels, so as to promote the high-quality development of public TCM hospitals. For example, through multi-departmental collaboration and system design, with high-level clinical research as the starting point, focusing on the connotation development of key clinical specialties (disciplines) of traditional Chinese medicine, creating a new model of integrated development of government, industry, academia, research and application led by science and technology innovation.
"Shanghai has launched the full-process traceability pilot of Chinese herbal decoction pieces." It is understood that five departments including the Shanghai Health Commission, Shanghai Administration of Traditional Chinese Medicine, and Shanghai Food and Drug Administration have jointly launched the pilot work of clinical application of the full-process traceability of Chinese herbal decoction pieces. The first batch of pilot hospitals and pilot enterprises, and relying on the Shanghai Traditional Chinese Medicine Industry Association, established a whole-process traceability management platform for Shanghai traditional Chinese medicine pieces.
The Shanghai Administration of Traditional Chinese Medicine stated that Shanghai will be guided by the construction of the National Comprehensive Reform Demonstration Zone of Traditional Chinese Medicine, with the innovation of the system and mechanism as the core, to tap the reform potential, solve the development problems, and fully implement the reform measures and construction tasks. The revitalization and development of medicine provides wisdom.
Traditional Chinese medicine fully participates in the construction of the basic medical and health system
"In the past two years, the Party Central Committee and the State Council have given unprecedented support to the traditional Chinese medicine industry, and the specifications, quantity and scope of documents issued are unprecedented." The press conference stated that my country has placed traditional Chinese medicine in a more prominent position, and made a series of major decisions and deployments, pointing out the direction for the inheritance, innovation and development of traditional Chinese medicine. Including further enhancement of service capabilities. Traditional Chinese medicine has fully participated in the construction of the basic medical and health system, and has been integrated into the Healthy China Action; the construction of national traditional Chinese medicine medical centers and regional traditional Chinese medical medical centers has been solidly promoted, and the quality and expansion of high-quality medical resources of traditional Chinese medicine has been promoted.
However, Zhao Wenhua also pointed out that the total amount of high-quality TCM medical resources is still insufficient, the development between regions and urban and rural areas is unbalanced, and the grass-roots TCM service capacity is weak, which are still important factors restricting the advancement of TCM tiered diagnosis and treatment.
Therefore, he suggested that the next step should be to speed up the construction of the National Traditional Chinese Medicine Center, the Regional Medical Center and the Traditional Chinese Medicine Inheritance and Innovation Center. Strengthen the construction of TCM halls in county-level TCM hospitals and grass-roots medical and health institutions, improve the comprehensive service capabilities of TCM at the grass-roots level, and achieve full coverage of county-run TCM medical institutions, and all community health service centers and township health centers to set up TCM halls. In addition, innovate the service model of traditional Chinese medicine, build an Internet hospital of traditional Chinese medicine, develop telemedicine and Internet diagnosis and treatment, build an online and offline integrated traditional Chinese medicine medical service model covering pre-diagnosis, diagnosis and post-diagnosis, and promote the sinking of high-quality medical resources.
Zhao Wenhua recently stated that my country will promote the continuous improvement of grass-roots traditional Chinese medicine service capabilities through the implementation of the "14th Five-Year" action plan for the improvement of grass-roots traditional Chinese medicine service capabilities. , strengths and weaknesses, solid foundation, and create an "upgraded version" of the grass-roots traditional Chinese medicine service capacity improvement project.
In the future, a high-quality and efficient traditional Chinese medicine service system will be established. Increase support, continue to strengthen the construction of TCM halls, community health service stations and village clinics in county-level TCM hospitals, township health centers and community health service centers, encourage social forces to practice TCM at the grassroots level, and further improve existing grassroots TCM medicines service system. By 2025, county-run TCM medical institutions (hospitals, outpatient departments, and clinics) will basically achieve full coverage, and more than 80% of county-level TCM hospitals will reach the level of "second-class first-class TCM hospitals". It is basically achieved that there are 0.6 to 0.8 qualified general practitioners of traditional Chinese medicine per 10,000 residents in urban and rural areas, all community health service centers and township health centers account for more than 25% of the total number of physicians in similar institutions, and 100% of community health service stations, More than 80% of village clinics are equipped with at least one medical staff who can provide traditional Chinese medicine services.
At the same time, vigorously promote the appropriate technology of traditional Chinese medicine. Strengthen the construction of appropriate technology promotion centers for traditional Chinese medicine at the provincial and county levels, improve personnel and equipment and facilities, establish and improve appropriate technology promotion networks and long-term mechanisms, strengthen assessment management, vigorously carry out promotion training, and effectively improve grass-roots medical and health institutions TCM service capabilities , give full play to the advantages and characteristics of traditional Chinese medicine's suitable technology of simplicity, convenience, testing and cheapness. By 2025, in principle, all counties should set up standard TCM appropriate technology promotion centers.