The theoretical system and intervention technologies of TCM "preventive treatment of disease" service are mature, with certain economic and cultural advantages coping with health needs in different states. Providing TCM "preventive treatment of disease" service in community elderly care facilities closer to residents can both promote the efficient utilization of resource and enhance the experience of the elderly access to health services.

To explore the perceptions, attitudes and needs of the providers (medical workers providing TCM "preventive treatment of disease" service) and demanders (elderly access to health services) in community elderly care facilities, in order to clarify the service contents that should be promoted and complementary operational conditions when providing TCM "preventive treatment of disease" service in community elderly care facilities.

From 2020-07-31 to 2020-08-10, the medical workers providing health care service and the elderly access to services in the community elderly care facilities with the highest average daily service attendance administered by 6 community health service centers were investigated using self-designed questionnaire by the project team members. The questionnaire for providers mainly included the perspectives and suggestions on the performance of TCM "preventive treatment of disease" service which was completed by themselves. The questionnaire for demanders to services mainly included thier health needs, acceptability of TCM "preventive treatment of disease" service and its providing in community elderly care facilities which was completed by the health care workers mentioned before by questioning.

The survey results of the providers showed that 81.6% (93/114) of the participants indicated that they had heard of or understood the concept of preventive treatment of disease, 41.2% (47/114) of them had performed health service project in community elderly care facilities, and 91.2% (104/114) of them considered that community elderly care facilities are suitable for providing health services. The survey results of the demanders showed that common helth problems mentioned by the elderly in the community included hypertension (57.0%, 138/242), diabetes (40.1%, 97/242), and low back pain (30.2%, 73/242), etc. 56.2% (136/242) of the participants indicated that they had received TCM health services with the satisfaction rate of 52.2% (71/136), 74.8% (181/242) of them had not heard of or learn much about preventive treatment of disease, 50.4% (122/242) of them were interested in TCM health services provided in community elderly care facilities. The suivey results of both providers and demanders showed that the the top 5 TCM "preventive treatment of disease" services suitable for community elderly care facilities are TCM four diagnostic methods, sports health care, living adjustment method, diet therapy and emotion regulation.

The health needs of the elderly in community elderly care facilities are consistent with the disease spectrum of the community. There is a demand and interest of preventive treatment of disease among the residents in the facilities. Community family physicians are interested and willing to provide the services in the facilities. The providing of TCM "preventive treatment of disease" services in community elderly care facilities have mass foundation and technical feasibility. However, there is a demand to strengthen the promotion, clarify charge, facilitate service delivery, and supply with appropriate service technologies.

中医治未病服务理论体系和干预技术成熟，应对不同健康状态下的健康需求均具备一定经济和文化优势，在离居民更近的社区养老场所内提供治未病服务，既可促进资源的高效利用，亦可提升老年人享受健康服务的体验。

探索供需双方对在社区养老场所开展治未病服务的认知、态度和需求，以明确在社区养老场所内提供治未病服务时应主推的服务内容与需配套的运行条件。

于2020-07-31至2020-08-10，采取目的抽样法，在上海市6家社区卫生服务中心下辖的、各日均服务人次最多的社区养老场所，使用项目组成员自行设计的调查问卷，分别对提供健康服务的医护人员（供方）和享受服务的老年人（需方）进行调查。供方问卷主要调查在社区养老场所开展治未病服务的观点和建议，由医护人员自行填写；需方问卷主要调查老年人健康需求、对治未病服务及在社区养老场所提供治未病服务的接受程度，由前述医护人员采用对老年人进行问询后代为填写。

供方调查结果显示，81.6%（93/114）的受访者表示听说或了解治未病概念，41.2%（47/114）在社区养老场所提供过健康服务项目，91.2%（104/114）认为社区养老场所适合提供健康服务。需方调查结果显示，社区老年人常见主诉和病症为高血压（57.0%，138/242）、糖尿病（40.1%，97/242）、腰背痛（30.2%，73/242）等健康问题；56.2%（136/242）被调查者表示自己接受过中医健康服务，其中52.5%（71/136）表示满意；74.8%（181/242）被调查者没听说过或不太了解治未病，50.4%（122/242）对在社区养老场所接受中医治未病健康服务有兴趣。对供需两方的调查结果均显示适合在社区养老场所提供的中医治未病服务项目排名前5者为中医四诊、运动保健、起居调摄、饮食调养和情志调理。

社区养老场所人群健康需求与社区疾病谱一致，该场所人群对治未病服务有需求和兴趣；社区家庭医生作为供方对在此场所开展服务同样有兴趣和意愿。在社区养老场所提供中医治未病服务具有较好的群众基础和技术可行性，但是需要强化宣传、明确收费、便捷服务提供方式，并配套地选好服务技术。