社区健康管理是社会治理的重要部分。中医药服务的特色与优势在社区健康管理中更能充分实现,其蕴含的人文价值观念,体现的生命观、生活观、养生观以及简便验廉的适宜技术等均与社区健康管理的要求高度契合。传统的社区治理模式不利于中医药服务进社区、实施慢病防控,新公共管理理论、多中心治理理论为中医药特色社区健康管理建设提供了理论依据。建议政府与市场结合,加强非政府组织的主动性,调动居民参与的积极性,通过多元治理为中医药特色社区健康管理创造出新的路径。
Community health management is an important part of social governance. Unique features and advantages of Traditional Chinese Medicine( TCM) services can be more adequately manifested in community health management. TCM is full of luxuriant humanistic values with unique views on life and health and simple,feasible and inexpensive close-to-nature approaches towards health care,which are highly consonant with the principles of community health management. The traditional community governance is not conducive to the development of TCM services and the implementation of strategies to prevent and control chronic diseases. The new public management theory and the multi-center governance theory have laid a strong the oretical foundation for management of community health services with TCM as a major component. To develop a more appropriate, multi-component,new strategy to manage TCM integrated community health services,we strongly suggest that:( 1) government efforts be combined with market forces;( 2) initiatives from non-government organizations been encouraged; and( 3) enthusiasm of the local residents in the community to participate be increased.