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Get through the "last mile" of TCM services

——Xiamen Municipal Committee of the Peasants and Workers Party made suggestions to improve the service ability of basic level TCM

"I have a sore shoulder and neck for more than ten years. I often need acupuncture, massage and physiotherapy. I used to go to the department of traditional Chinese medicine in the 'big hospital'. Recently, I came to the 'health center' at the door of my home and found that the doctors here have good skills and attitudes, and can brush medical insurance, which is very convenient." On April 11, Aunt Kang, who finished acupuncture at the Community Health Service Center in Yipeng Street, Siming District, Xiamen, said with satisfaction. The reporter learned that up to now, community health service centers and hospitals in Xiamen have basically achieved full coverage of TCM services.

"Traditional Chinese medicine is very popular among the masses because of its definite clinical efficacy, unique preventive and health care functions, flexible and diverse treatment methods, and low cost. Community health service centers, district level maternal and child health centers and other grass-roots medical institutions are close to the masses, the "last mile" of serving the masses, the foundation of the development of traditional Chinese medicine, and the final destination of deepening the reform of the medical system. " The relevant person in charge of the Xiamen Municipal Committee of the Peasants and Workers' Party analyzed that, in the context of the construction of a "healthy China", it is particularly important to further improve the service ability and provide quality services after the basic medical institutions have established a TCM service foundation. For this reason, the Xiamen Municipal Committee of the Peasants and Workers' Party has set up a special topic group to conduct research and put forward specific suggestions.

"This year's government work report pointed out that it will promote the inheritance and innovation of traditional Chinese medicine and strengthen the construction of advantageous specialties of traditional Chinese medicine. In recent years, the country has attached great importance to the development of traditional Chinese medicine. The level of development of traditional Chinese medicine at the provincial and municipal levels has been high, and the weak links are in community health service centers and hospitals." In the survey, the Xiamen Municipal Committee of the Peasants and Workers Party found that, Grass roots medical institutions have the following problems: "the service capacity of traditional Chinese medicine is not strong, the business is mainly based on acupuncture, massage, general practice of traditional Chinese medicine and other conventional diagnosis and treatment, and the characteristics of traditional Chinese medicine such as anorectal, dermatology, gynecology, massage and so on are not fully played; the construction of specialty needs to be strengthened; the scientific research capacity is weak; the growth space of grass-roots Chinese medicine talents is limited, and the promotion of professional titles is difficult; The income of medical staff in TCM department is obviously less than that of other departments, and the loss of TCM talents in disguised form ".

"It is recommended to continue to optimize the service environment of grass-roots TCM, and promote the construction of 'boutique TCM centers and TCM pavilions at the grass-roots level'." The Xiamen Municipal Committee of the Peasants and Workers Party suggested that full financial support should be provided, and special funds should be allocated every year to promote the improvement of the TCM service system. Through high-level grafting of resources from TCM specialized hospitals or colleges and universities, we will create characteristic departments for grass-roots TCM departments and improve their service capabilities. Carry out mentoring, jointly complete basic scientific research projects, expand basic appropriate technologies, and improve the scientific research ability of basic TCM talents.

"The provincial and municipal health committees should take the lead in formulating corresponding TCM talent development plans as soon as possible and gradually improve them." The Xiamen Municipal Committee of the Peasants and Workers' Party suggested that the vacant staffing of grass-roots medical institutions should be given priority to recruiting TCM talents to solve the shortage of TCM talents at the grass-roots level. The Human Resources and Social Security Department should take the lead in revising the "Implementation Opinions on Post Setting Management of Public Institutions", improve the proportion of personnel with senior professional titles in grass-roots medical institutions, and broaden the channel for the rise of grass-roots TCM talents; Formulate and improve the professional title evaluation and employment scheme, and reserve a certain proportion of quota for primary medical institutions. We will introduce high-quality Chinese medicine talents to the grass-roots level for multi-point practice to make up for the shortage of excellent Chinese medicine talents at the grass-roots level. Relevant policies were issued to solve the problem of narrow collection range of TCM treatment based on syndrome differentiation. The study of "four classics" of traditional Chinese medicine, such as Huangdi Neijing, Treatise on Febrile Diseases and Miscellaneous Diseases, was included in the continuing education of traditional Chinese medicine talents to promote the improvement of traditional Chinese medicine service ability. (Reporter Zhao Ning)

Edited by: Qin Yun