國務(wù)院新聞辦公室新聞發(fā)布會材料 中醫(yī)藥事業(yè)發(fā)展現(xiàn)狀與管理情況
（2004年10月8日）
于中醫(yī)藥事業(yè)發(fā)展現(xiàn)狀與管理情況講話.png)
國家中醫(yī)藥管理局
中醫(yī)藥事業(yè)發(fā)展現(xiàn)狀
新中國成立55年來，在黨和政府的關(guān)懷下
一、以中醫(yī)醫(yī)院為主體的中醫(yī)醫(yī)療保健服務(wù)體系基本形成
二
、農(nóng)村中醫(yī)工作得到加強(qiáng)。在農(nóng)村，約70%的縣建有中醫(yī)院，70%的鄉(xiāng)鎮(zhèn)衛(wèi)生院設(shè)有中醫(yī)科，40%的鄉(xiāng)村醫(yī)生采用中醫(yī)或中西醫(yī)兩種方法為患者治病。國家和地方積極開展農(nóng)村中醫(yī)工作先進(jìn)縣建設(shè)，近年，建成全國中醫(yī)工作先進(jìn)縣113個(gè)、在建單位111個(gè)。國家中醫(yī)藥管理局為各地縣級中醫(yī)醫(yī)院培訓(xùn)技術(shù)骨干3000名，為西部地區(qū)貧困縣中醫(yī)醫(yī)院（含民族醫(yī)醫(yī)院）培養(yǎng)了600余名中醫(yī)?div id="m50uktp" class="box-center"> ？萍夹g(shù)骨干人才。目前組織研究三
、中醫(yī)藥學(xué)術(shù)水平不斷提高，科研成果大量涌現(xiàn)。據(jù)統(tǒng)計(jì)，全國現(xiàn)有獨(dú)立的中醫(yī)藥科研機(jī)構(gòu)100余所，科研專業(yè)技術(shù)人員1萬余人。不少從事自然科學(xué)研究的院所、企業(yè)積極參與中醫(yī)藥科研，形成了行業(yè)內(nèi)外結(jié)合、多學(xué)科參與、聯(lián)合攻關(guān)的中醫(yī)藥科研格局。目前有國家級中醫(yī)藥藥品非臨床研究質(zhì)量管理規(guī)范中心2個(gè)，藥品臨床試驗(yàn)管理規(guī)范中心7個(gè)，中藥工程技術(shù)研究中心8個(gè)，國家中醫(yī)藥管理局中醫(yī)藥科研三級實(shí)驗(yàn)室138個(gè)和規(guī)范化藥理實(shí)驗(yàn)室3個(gè)。初步建成了全國中醫(yī)藥科學(xué)數(shù)據(jù)資源共建、共享平臺。在文獻(xiàn)和基礎(chǔ)研究方面，已整理、出版中醫(yī)古籍600余種，近年來從國外影印回歸200多種善本中醫(yī)古籍；出版《中華本草》巨著，對8980種中藥進(jìn)行了全面、系統(tǒng)的整理、研究；國家重點(diǎn)基礎(chǔ)研究發(fā)展計(jì)劃 方劑關(guān)鍵科學(xué)問題的基礎(chǔ)研究，對中藥復(fù)方藥效學(xué)物質(zhì)基礎(chǔ)及作用機(jī)理進(jìn)行了深入研究，初步揭示了藥物配伍的科學(xué)內(nèi)涵四
、中醫(yī)藥教育形成了現(xiàn)代化教育方式和師承教育相結(jié)合的教育網(wǎng)絡(luò)，基本建立了多形式、多層次、多專業(yè)的中醫(yī)藥教育體系。目前，全國有高等中醫(yī)藥院校32所，中等中醫(yī)藥?div id="d48novz" class="flower left">五
六
七
截至2004年9月
一
、中醫(yī)藥參與公共衛(wèi)生體系建設(shè)積極參與突發(fā)公共衛(wèi)生事件應(yīng)急體系建設(shè)
，進(jìn)一步提高中醫(yī)藥應(yīng)對突發(fā)公共衛(wèi)生事件的能力。把中醫(yī)藥納入突發(fā)公共衛(wèi)生事件醫(yī)療救治體系；建立應(yīng)急中醫(yī)藥救治專業(yè)技術(shù)隊(duì)伍和專家指導(dǎo)小組目前，我局已成立中醫(yī)藥防治艾滋病工作組織協(xié)調(diào)小組和專家組
二
、大力推進(jìn)名院、名科、名醫(yī)戰(zhàn)略繼續(xù)實(shí)施名院
、名科、名醫(yī)戰(zhàn)略，突出中醫(yī)藥優(yōu)勢特色?div id="4qifd00" class="flower right">三
、中醫(yī)藥科技工作加強(qiáng)中醫(yī)現(xiàn)代化發(fā)展戰(zhàn)略研究
四
、農(nóng)村中醫(yī)藥工作加強(qiáng)西部地區(qū)農(nóng)村縣級中醫(yī)醫(yī)療機(jī)構(gòu)的基礎(chǔ)建設(shè)
，加強(qiáng)鄉(xiāng)鎮(zhèn)衛(wèi)生院中醫(yī)科的建設(shè)，按照有關(guān)要求，配置相關(guān)設(shè)施。落實(shí)農(nóng)村初級衛(wèi)生保健中醫(yī)藥指標(biāo)。開展全國農(nóng)村中醫(yī)醫(yī)療機(jī)構(gòu)中醫(yī)特色?div id="4qifd00" class="flower right">五
全面貫徹施行《中華人民共和國中醫(yī)藥條例》
六、中醫(yī)藥對外交流與合作
實(shí)施走出去戰(zhàn)略
，積極鼓勵(lì)和支持中醫(yī)藥對外辦醫(yī)辦學(xué)，擴(kuò)大中醫(yī)藥在國際上的傳播面；加強(qiáng)中醫(yī)藥標(biāo)準(zhǔn)規(guī)范在國際上的宣傳和推廣，提高中醫(yī)藥對外交流與合作的質(zhì)量和水平，保持我國在世界傳統(tǒng)醫(yī)藥界的領(lǐng)先地位附講話英文版Material for the press conference of the State Council Information OfficeThe Current Situation of the Development and Management of Traditional Chinese Medicine
October8,2004State Administration of Traditional Chinese Medicine
Under the care and support of Chinese Communist Party and the government,the Traditional Chinese Medicine(TCM)service has made substantial progress for the past55years since the establishment of the People’s Republic of China,
I.The Medical and Health Care Service System has been formed with the hospital of TCM as the main resources.At the present,there are2,868hospitals of TCM in China with280,000beds with different types.There are270,000licensed practitioners of TCM(including the assistant doctors); the majority of the general hospitals are deployed with the TCM units.In2003alone,there were206million time/visit to the TCM hospitals,while56.36million visits were made to the TCM units in the General hospitals,At the community level,89%of the community health centers and50%of the community health stations provide TCM service.In order to give the full play of the advantage of TCM,137demonstration hospitals and116key special units(diseases)were established.TCM can provide effective treatments not only to the chronic and difficult diseases and those for the elderly,of functional problems and caused by virus,but also can play certain role for the acute and infectious diseases.
The practice showed that the treatment of TCM to SARS were safe and quite effective.The application of TCM to AIDS cases at early stage can treat the opportunist infection,regulate the immune function,regulate the immune function,reduce the toxicity,enhance the effectiveness of treatment and upgrade the living quality of the patients.In the meantime,the cost of the medicine is low and obvious side effect is not common.
II.The TCM service in the rural areas was enhanced.In the rural,about70%of the township health centers established the TCM units,40%of the village doctors use TCM or both TCM and western medicine to treat the diseases.The country and the localities actively promote the construction of advanced TCM counties.In the recent years,113advanced TCM counties and111advanced institutes were constructed.3000key technical staff was trained for the country hospitals,while600key technical staff of TCM for the west part of the country.Furthermore,216clinical diagnosis techniques are under research and identification,among which,some projects have enter the period of the evaluation,15were passed the evaluation and promoted to the rural.The pilot scheme for the certification education for the TCM staff that did not have formal education diploma in the countryside is conducted in8provinces to upgrade the technical standard and educational level for TCM health workers in the countryside.
III.The academic level of TCM is upgraded continuously and the scientific and technological accomplishments are produced.According to the statistics,there are more than1000independent Institutes for the research of TCM at the country level with10,000researchers.Quite a lot of universities,institutes and enterprises which are engaged in the natural sciences also take an active part in the research in the field of TCM,by so doing the situation of integration between the inside and outside of the TCM professional organizations,participation by multi disciplines and joint efforts to make breakthrough have been made.Now,there are2GMP centers for non-clinical research on medical products,7GMP centers for the medical products,8centers for the TCM Engineering technology,138labs of TCM supported by the State Administration of Traditional Chinese Medicine(SATCM),and3labs for the standardlized pharmacology.Now the platform for the scientific data of TCM has been jointly established and shared.600ancient documents were compiled and printed after research on the literatures and basic study,200copies of sole ancient books of TCM were brought back to the country from foreign countries.The great work“BencaoGang mu”(compendium of material medical)was published to the public.8980kinds of herbal medicine were compiled and studied with a comprehensive and systematic manner.“The basic study on the key scientific issues of the prescriptions and formulas”,a priority research of the national basic research project has conducted profound study on the materials of the compounds and their roles,and explore the primary components
For the matching of the different medicines.The subject on the standardization of symptoms and conditions and the relevant relations with the diseases,and the prescription is under the intensive study.The acupuncture point location standardization is recognized by the world as a whole.In the clinical research,the treatments on vascular and cerebra vascular diseases,liver conditions and kidney diseases have formed quite mature,standardized and feasible protocols.Since the10th five year plan,11accomplishments on TCM were rewarded with the national scientific and technological award,among which,the project on blood stasis and promotion of the blood circulation and remove the stasis were rewarded for the first class progress award in2003.
IV.The TCM education has formed the educational network for the integration of modern educational system and master to student pattern study with different forms,levels and disciplines.Currently,there are32universities and colleges of TCM.8general universities have the TCM school or department,184professional medical school set up TCM curriculum.24key subjects(78construction spots)are undergoing the mid term review.46subjects of the teaching materials are prepared and published.Continuing education is organized; inheriting the academic experience of the senior experts arranged.1607senior experts are identified respectively and2285inheritiors are being trained.The project of continuing education for the excellent clinicians of TCM is implemented for the training of the future excellent doctors.The first group is selected consisting of215doctors.
V.The progress is made in the field of integration of TCM and western medicine.At present,there are193hospitals of integration of TCM and western medicines and30,000health workers in this field.The priority is given to the construction of10hospitals of integration of TCM with western medicine,and27units of this kind in order to find best practice for the integration point and method.The pilot schemes are carried out for the7years schooling for the training of professional with the TCM and western medicine educational knowledge in7universities of TCM in Beijing,Shanghai and Guangzhou etc.,in the meantime,the teaching materials are prepared for the undergraduate students on the subjects of integration of TCM and western medicine.The clinical study on the treatment of thighbone head putrescence and the application and basic study on the abdominal operation by purgation were rewarded the2nd grade award of science and technology progress.
VI.The ethnic medicine is further exploited,upgraded and compiled.There are157hospitals of ethnic medicines in China with8,000health workers.Through national examination,4683health workers in the field of ethic medicine obtained license for the medical practice.Some general hospitals are also equipped with the ethnic medicine units.14ethnic medicine specialty units are listed as the priority units for further development.Some ethic medicines have entered the reimbursement list of the national basic medical insurance scheme.There are3universities of Ethnic Medicine in the country and Tibet,Mongolia,and Uigur medicines are listed as the key subjects,76topics of ethnic medicine have been prepared,25of which have been published.The charters on the Tibet,Mongolia and Uigur medicines in the national compendium of material medical are completed.60medical literatures form the15ethnics were compiled,including the literatures form Tibet,Mongolia,Uigur and the Thai.Currently,30books such as Medicine of the Buyi,Basic Theory of Yi Ethnic Medicine and the Hui Medicine in China were compiled and completed.
VII.Further growth of the international cooperation in the field of TCM and the expansion of the international dissemination of TCM.By September2004,there were49items in the multi lateral and bilateral agreements with the foreign governments in the field of medicine were relevant to the TCM,while there are17agreements dedicated to TCM.According to the statistics of TCM institutes in28provinces,from1998to2002,there was a20%growth of delegations and groups from foreign countries or outside the mainland in the field of TCM,at the same time,there was an increase of6%for the outgoing delegations.With the cooperation of WHO,the global and regional strategy of TCM were promoted for the formulation and implementation.7WHO collaborating centers for TCM have played active roles.The world Federation of Acupuncture Societies headquartered in Beijing now has77TCM societies from43countries and areas.The World Federation of Traditional Chinese Medicine also established its headquarter in Beijing,owners138members from48countries and areas.According the incomplete statistics,there are50,000health service and care setups in the field of TCM including acupuncture outside the mainland China.There are100,000registered acupuncturists and20,000TCM practitioners.According to the statistic of2003,there were3221students from overseas to study in the university and college of TCM,which occupied the No.1among all natural sciences in terms of the number of the students.
Way of Thinking and the Priorities in the Future
I.Participation of TCM to the Public Health System Construction
TCM should take an active part in Emergency Response System of the Public Health Construction.The capability of TCM to response the urgent Public Health events should be further enhanced,TCM should be integrated to the Response System for emergent Public Health events,therefore,the professional teams and experts counseling panel for the urgent medical problems should be established.The professional and universal training should be provided,and attention should be given to the construction of the clinical base for the integrated treatment of TCM and western medicine,and the establishment of Emergency Unit in the TCM hospitals,therefore to further upgrade the standards for the prevention and control of the major diseases.
Now the SATCM has set up coordinating group and expert counseling panel on the prevention and control of HIV/AIDS,organized treatment and care program and implemented“six-one project”,namely:one plan should be realized,one medical and research project should be organized,one experts team should be formed,one medical and research center should be set up,one protocol for the treatment by TCM as well as by the integration of TCM with western medicine should be selected,and one batch of new drug of TCM should be developed.
II.To promote the Strategy of hospitals,units and doctors with high profile
We will continuously promote the strategy of hospitals,units and doctors with excellent reputations.On the foundation of the summing up the construction experiences of137demonstrative TCM hospitals,we are going to set up a group of hospitals with excellent reputations and high quality,good medical skill and special characteristics of TCM.While on the foundation of the experience of161key special units and diseases,we plan to set up a batch of high profile units at the national level and provincial level.On the foundation of summing up and inheriting the experiences of the senior TCM doctors,and the training experiences of the TCM health workers at the grass root level,we are going to nurture a batch of doctors with high reputation.
III.Research work of TCM
We are going to strengthen the strategic study on the modernization of TCM and further identify the goal,way of thinking,priority areas and main task for the development of TCM modernization,therefore to push forward the coordinated development of modernization of TCM practice and herbal medicine.We should further promote the science and technology modernization of TCM,to establish the individual diagnosis and treatment system by modernized TCM,the system on the clinical treatment result evaluation and technical norms,and to construct the platform for sharing the methodology and the digital information.We will work together with the relevant departments to implement continuously the Frame Work for the Development of Modernization of TCM,to construct the modernized and creative new system,to refine the standardization system and enhance the favorable condition for the development of new TCM drugs,therefore,a batch of safe,reliable and effective medicine will be discovered and to form a modernized TCM industry with competitive advantage in the market.
IV.TCM service in the rural areas
We should strengthen the basic facility for the country TCM hospitals in western region; enhance the capacity building of the TCM unit in township hospitals and provide the necessary equipments according to the relevant requirements.Guideline of traditional Chinese medicine will be prepared for primary health care system.Specific departments(for treating specific diseases)of TCM in medical units in rural area should be constructed; accordingly,200special units are going to be established as the first group.One hundred special treatment methods of traditional Chinese medicine will be promoted in the rural areas.The training for the existing rural health technicians and Chinese medicine practitioners will be strengthened ; therefore,70%of the rural doctors in the village clinic can master the knowledge of TCM as the main method or both the TCM and western medicine.Experience should be summed up and Suggestions and Recommendations on the Pilot Project of Establishment of Comprehensive Function of TCM In the New Collective Medicine Scheme in the Countryside will be printed and disseminated.
V.Strengthen the work on legalization and standardization of TCM
We should implement comprehensively the Regulations on TCM of P.R.China,and formulate relevant documents and criterions.Accession of TCM facilities,TCM practitioners,medical qigong,and health workers to the health system should be further managed.The enforcement of the regulation on TCM should be integrated into the health supervision and law enforcement.We are going to formulate the TCM strategy on Standardization and to set up modernized standard of TCM.We are going to implement the projects on standardization of TCM,propose and formulate a batch of national standards and criterion of TCM based on standard clinical technique practice and guidance for the treatment of diseases so as to further strengthen the supervision of the market,regulate the practice of TCM and upgrade the treatment quality and service.
VI.External exchanges and cooperation
Strategy of reaching out will be implemented.The active encouragement and support should be provided to the running of the medical services and edubational program outside the mainland China,and the proportion of TCM professionals working in the medical team to assist the foreign countries should be further extended,the coverage of international dissemination of the TCM should be enlarged and the norms of TCM should be publicized and promoted,and the level and the quality of international cooperation and exchanges should be further upgraded so as to protect the leading status of the country in the field of TCM.The cooperation with WHO and other international organizations and governments as well as NGO should be further strengthened,and people to people cooperation and exchanges should be broadened.
1.中醫(yī)醫(yī)師年終工作總結(jié)
我自x月份參加工作至今已經(jīng)x年了，在醫(yī)院
一
作為一名醫(yī)生
二
1
2
三
作為醫(yī)院的一員
總結(jié)_年
2.中醫(yī)醫(yī)師年終工作總結(jié)
懷著對醫(yī)學(xué)的好奇和神秘感
畢業(yè)以后從事危重病搶救工作，危重病醫(yī)學(xué)是一門年輕的學(xué)科
一、人工氣道
“於無路處創(chuàng)出路
人工氣道的建立和維護(hù)是危重病搶救主要方法之一，也是圍手術(shù)期麻醉病人保持呼吸道通暢的基本措施之一
二
注重臨床科研并舉
承擔(dān)省衛(wèi)生廳醫(yī)學(xué)繼續(xù)教育—《危重病監(jiān)測治療學(xué)》項(xiàng)目一項(xiàng)(ⅰ類學(xué)分);承擔(dān)市醫(yī)學(xué)繼續(xù)教育—《急診急救新進(jìn)展》項(xiàng)目一項(xiàng)(ⅱ類學(xué)分)。已舉辦省危重病監(jiān)測治療學(xué)學(xué) 習(xí)班五期
三
熟知危重病搶救國內(nèi)外新進(jìn)展
四
帶領(lǐng)全科54位醫(yī)護(hù)人員
行醫(yī)路上，幾多艱辛
3.中醫(yī)醫(yī)師年終工作總結(jié)
中醫(yī)是我國的傳統(tǒng)醫(yī)學(xué)，是醫(yī)學(xué)先輩們留給后人的寶貴財(cái)富
一
中村衛(wèi)生院現(xiàn)轄六個(gè)行政村
二、業(yè)務(wù)評估
20x年度
三、工作進(jìn)展20x年10月8日
中村鄉(xiāng)人民政府下發(fā)了《中村鄉(xiāng)關(guān)于中醫(yī)事業(yè)發(fā)展“三年”規(guī)劃》
在中醫(yī)管理科和中醫(yī)?div id="jpandex" class="focus-wrap mb20 cf">？平ㄔO(shè)領(lǐng)導(dǎo)小組的監(jiān)督指導(dǎo)下，院內(nèi)進(jìn)一步規(guī)范了中醫(yī)門診病歷及處方的書寫與管理
四、機(jī)構(gòu)建設(shè)
在中醫(yī)管理科成立的基礎(chǔ)上
五、業(yè)務(wù)培訓(xùn)
為了提高全體醫(yī)務(wù)人員在中醫(yī)中藥方面的綜合素質(zhì)
六
20x年5月份
在全體員工的共同努力下，我院中醫(yī)推拿
4.中醫(yī)醫(yī)師年終工作總結(jié)
本人_x
一、思想上
首先
二
作為一名剛剛畢業(yè)的大學(xué)生
