Study on optimization of pain management path for sinking of TCM rehabilitation resources in primary medical institutions
基层医疗机构中医康复资源下沉的疼痛管理路径优化研究

摘要

为解决基层医疗机构中医康复资源不足、疼痛管理服务链条断裂的问题，本研究基于临床-康复-全周期管理模式等五种实践经验，采用文献分析与路径优化设计相结合的方法，构建了“社区-家庭”衔接的资源下沉路径、“三维约束”家庭康复协议、“三层协同”依从性策略及“双轮驱动”整合模式。结果显示，该优化路径可实现中医适宜技术精准下沉，提升疼痛管理效果与患者依从性。结论表明，此路径为基层疼痛管理提供了规范化、高效化解决方案，具有较强实践价值。

Abstract

To address the problems of insufficient TCM rehabilitation resources and broken pain management service chains in primary medical institutions, this study, based on five practical experiences such as the clinical-rehabilitation-full-cycle management model, adopts a combination of literature analysis and path optimization design methods, and constructs a resource sinking path connecting "community-family", a "three-dimensional constraint" family rehabilitation agreement, a "three-level collaboration" compliance strategy, and a "dual-wheel drive" integration model. The results show that the optimized path can realize the precise sinking of appropriate TCM technologies and improve the effect of pain management and patient compliance. The conclusion indicates that this path provides a standardized and efficient solution for primary pain management and has strong practical value.