|目的：了解湖北省中医类医疗卫生机构膏方业务开展状况及存在的问题，为相关政策的制定提供依据。方法：采用问卷调查形式，对湖北省91家中医、民族医、中西医结合医疗卫生机构膏方业务开展情况进行调查和统计、分析。结果：共发放调查问卷91份，回收有效问卷91份，有效回收率为100％。受访机构膏方业务开展率为61.54％；2011－2013年湖北省膏方生产量年平均增长率为25.57％；单料膏方平均价格≤400元的占比最高（32.14％）。膏方管理涉及的项目实施较好的是“制定膏方工作制度、规范、流程”“膏方第一负责人为科主任及以上”“进行膏方宣传和推广”。膏方处方人员以高级职称中医师为主，多具有本科以上学历，而膏方制备人员以初、中级职称人员为主，大多为本科及以下学历；膏方相关人员参加省级培训的比例仅为8.71％。湖北省开展膏方业务的受访机构膏方生产总面积为3 090 m2，平均每料生产时间为33.6 h。膏方质量控制多依据外观、性状判断。湖北省对膏方的科研工作目前还没有真正开始。结论：湖北省膏方业务发展迅速，但全省各地区发展不均衡，膏方管理、培训、质量控制、科研等方面仍相对不足。
|OBJECTIVE： To investigate the development and existing problems of pastes in TCM medical and health institutions of Hubei province， and provide basis for establishing relevant policies. METHODS： A questionnaire investigation was adopted to investigate and statistically analyze the development of pastes in TCM， national medicine and Chinese combined with western medicine medical and health institutions of Hubei province. RESULTS： Totally 91 questionnaires were sent out， 91 were effectively received with effective rate of 100％. The development rate of pastes in the surveyed institutions was 61.54％； the average annual growth rate of paste production in Hubei province from 2011 to 2013 was 25.57％； the single paste over 400 yuan accounted for the highest proportion （32.14％）. The projects involved in the paste management were better showed in aspects of “developing work system， norms and processes for paste”，“the first person in charge was director and above”，“conducting publicity and promotion”. Physicians of the paste prescription were mainly based on the senior professional title， mostly with a bachelor’s degree or above， while the preparation personnel was mainly based on the primary， intermediate personnel， mostly with a bachelor's degree and below； the participation rate of the provincial level of the training for all related personnel was only 8.71％. The production of paste covered a total area was 3 090 m2 with single average production time of 33.6 h. The quality control of paste was mainly based on the appearance and characters. The study on paste still had not really started in Hubei province. CONCLUSIONS： The business of pastes in Hubei province has developed rapidly while still has a bright popularity prospect in other places throughout the province. The management， training， quality control and scientific research of the paste are relatively inadequate.
|ZHANG Feng，YUAN Mingyang，ZHANG Yun，LIU Yuling，ZHANG Yisheng，LIU Xuean，LI Chen
|Hubei province； TCM Medical and Health Institution； Paste； Investigation and analysis