Medical Administration

   Since the founding of the People's Republic of China, the central and local governments at various levels have energetically supported the cause of traditional Chinese medicine (TCM) and gradually set up a medical healthcare service system with TCM hospitals as its main body. In 1998, there were 2,629 hospitals of TCM in China¡Aincluding hospitals of TCM integrated with Western medicine (WM) and hospitals of national minority medicine with 260,000 beds in these hospitals. In addition, there were 288 clinics of TCM. TCM has made great contributions to the economic construction. According to statistics, in 1998, 150 million outpatients and 2.87 million inpatients got treatment in hospitals of TCM at the county and above levels. They also assume responsibilities for medical healthcare in communities, health education, disaster relief and disease prevention. All the general or special hospitals of WM in China have departments of TCM with outpatients amounting to 22% of the total in hospitals of WM and beds at the departments of TCM accounting for 5-10% of the total beds in hospitals of WM. TCM serves one third of outpatients and a quarter of inpatients in rural areas of China. More than 170,000 traditional Chinese medical workers work hard in over 50,000 clinics. The majority of the 970,000 rural physicians use both TCM and WM in treatment and prevention of diseases. At present, TCM has greatly expanded its coverage and it is playing an important and irreplaceable role in the medical and healthcare systems in China.

   The efficacy in preventing and treating diseases by TCM and its level of medical treatment has been constantly enhanced. TCM, acupuncture, tuina, qigong and other ways and means have been rapidly developed and improved. Better curative effects have been achieved in treatment of commonly seen and frequently encountered diseases, particularly cardiovascular disease, malignant tumor, immune and infectious diseases. Meanwhile, its service has been further extended alongside its improved skills. In general although hospitals of TCM are generally smaller than that of WM in scale, each physician in hospitals of TCM treats more outpatients than that in hospitals of WM at the same level. Further rational use of traditional Chinese medicinal resources is in fact the distinguished features and advantages of TCM in health service, which would make positive contributions to the medical and healthcare work of the Chinese people. Table 1: Hospitals of TCM, Beds and Physicians in China

 

total

Hospitals of TCM

   

hospitals of TCM above county level

hospitals affiliated to colleges of TCM

hospitals of TCM integrated with WM

other hospitals of TCM

Hospitals

         

1980

678

647

-

-

31

1986

2050

1576

31

12

39

1995

2522

2371

41

40

70

1998

2629

2444

43

53

89

Beds

         

1980

49977

49151

-

-

826

1986

128784

113008

10931

3627

1218

1995

236060

206812

17603

8875

2770

1998

260386

229000

17695

10863

2828

Physicians

         

1980

73458

72097

-

-

1361

1986

198158

169591

21263

5898

1433

1995

353373

309401

27503

13556

2913

1998

397235

349261

27908

17054

3012

Note:
1. According to statistics issued by the Health Ministry in 1996 (every 5 years), there were 71838 beds at the departments of TCM in
hospital of WM (general, special and affiliated hospitals) in China in 1996.
2. "-" in the table indicates incomplete data.

Table 2: Relevant Information about Hospitals of TCM and WM in 1998

 

hospital of TCM

hospitals of WM

Fixed assets/ per bed (yuan)

59778.3

77444.3

Total value of equipment/ per bed (yuan)

20787.4

34847.6

Person-times treated /per hospital/ per day

314.8

501.3

Time for turnover of beds

13.8

19.6

Medical cost/ per person-time (yuan)

50.4

68.8

Medical cost/per inpatient (yuan)

2118

2596.8

Medical cost/ per inpatient /per day (yuan)

164.2

222.2

Average days in hospital/ per inpatient

12.9

11.7

Yearly created income of hospitals / per worker (yuan)

52869

68902

Notes:
1. Hospitals of TCM offer more medical services with less resources and lower expenditure (per worker).
2. Influenced by many factors, created income of hospitals of TCM of per worker is lower, which does not necessarily mean less benefit.


-- source from State Administration of TCM, China

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