期刊首页 优先出版 当期阅读 过刊浏览 作者中心 关于期刊 English

《中国工程科学》 >> 2019年 第21卷 第2期 doi: 10.15302/J-SSCAE-2019.02.005

我国全科医生培养现状与发展策略

1. 浙江大学医学院附属第一医院全科医学科,杭州 310003;

2. 浙江大学医学院附属第一医院教学部,杭州 310003

资助项目 :中国工程院咨询项目“我国医药卫生人才培养战略研究”(2016-ZD-11) 收稿日期: 2019-01-15 修回日期: 2019-03-05 发布日期: 2019-04-15

下一篇 上一篇

摘要

经过近30年的不断探索和实践,我国全科医生队伍建设取得了一定的进展,初步建立了以“5+3”为主、“3+2”为辅的全科医生培养模式,但我国仍面临严重缺乏合格全科医生的情况。本文通过对我国全科医生培养现状的研究,了解到当前我国全科医生岗位缺乏吸引力,全科医生培养制度和体系不够完善,缺乏完善的过程考核机制,住培基地准入和再认证机制不完善,持续职业发展教育亟待规范。通过对国际上主要国家发展全科医生经验的回顾研究,建议我国应当切实提升全科医生待遇;以“岗位胜任力”为导向,建立完善的全科医生培训过程考核体系;统一全科医生住培基地准入条件,建立常态化基地评估认证机制;设置全科持续职业发展教育基地。

参考文献

[ 1 ] 王永晨. 全科医生专长化:我国全科医生继续教育的新理念 [J]. 中华医学教育探索杂志, 2018, 17(5): 433–438. Wang Y C. General practitioner specialization: New concept of general practitioner’s continuing education in China [J]. Chinese Journal of Medical Education Research, 2018, 17(5): 433–438.
Wang Y C. General practitioner specialization: New concept of general practitioner’s continuing education in China [J]. Chinese Journal of Medical Education Research, 2018, 17(5): 433–438. Chinese.

[ 2 ] 国家卫生健康委员会. 2018 中国卫生健康统计年鉴 [M]. 北京: 中国协和医科大学出版社, 2018. National Health Commission of the PRC. Chinese health statistics yearbook in 2018 [M]. Beijing: China Union Medical University Press, 2018.
National Health Commission of the PRC. Chinese health statistics yearbook in 2018 [M]. Beijing: China Union Medical University Press, 2018. Chinese.

[ 3 ] Yat-Hung T, Leung J Y Y, Ni M Y, et al. Training sufficient and adequate general practitioners for universal health coverage in China [J]. British Medical Journal, 2018 (362): k3128. 链接1

[ 4 ] Hou J, Michaud C, Li Z, et al . Transformation of the education of health professionals in China: Progress and challenges [J]. Lancet, 2014 (384): 819–827. 链接1

[ 5 ] Anand S, Fan VY, Zhang J, et al. China’s human resources for health: Quantity, quality, and distribution [J]. Lancet, 2008 (372): 1774–1781. 链接1

[ 6 ] 武宁, 程明羕, 闫丽娜, 等. 中国全科医生培养发展报告(2018) [J]. 中国全科医学, 2018, 21(10): 1135–1142. Wu N, Cheng M Y, Yan L N, et al. Training development report of GPs (2018) [J]. Chinese General Practice, 2018, 21(10): 1135– 1142.
Wu N, Cheng M Y, Yan L N, et al. Training development report of GPs (2018) [J]. Chinese General Practice, 2018, 21(10): 1135–1142. Chinese. 链接1

[ 7 ] 苏曼. 社区卫生技术人员薪酬水平研究 [D]. 太原: 山西医科大 学 (硕士学位论文), 2017. Su M. Study on salary level of community health technicians [D]. Taiyuan: Shanxi Medical University (Master’s thesis), 2017.
Su M. Study on salary level of community health technicians [D]. Taiyuan: Shanxi Medical University (Master’s thesis), 2017. Chinese. 链接1

[ 8 ] 徐静, 周亚夫, 葛运运, 等. 国内外全科医生的覆盖范围及待遇 和相应支付方式 [J]. 中国全科医学, 2013, 16(24): 2787–2789. Xu J, Zhou Y F, Ge Y Y, et al. Comparison of the general practitioners´ coverage, remuneration and related payment methods at home and abroad [J]. Chinese General Practice, 2013, 16(24): 2787–2789.
Xu J, Zhou Y F, Ge Y Y, et al. Comparison of the general practitioners´ coverage, remuneration and related payment methods at home and abroad [J]. Chinese General Practice, 2013, 16(24): 2787–2789. Chinese. 链接1

[ 9 ] 赵欣欣, 孙小婷, 潘志刚, 等. 英美中三国全科医生培养模式对 比研究 [J]. 中国全科医学, 2018, 21(22): 2660–2663, 2667. Zhao X X, Sun X T, Pan Z G, et al. Models for training general practitioners in the UK, U. S. and China: A comparative study [J]. Chinese General Practice, 2018, 21(22): 2660–2663, 2667.
Zhao X X, Sun X T, Pan Z G, et al. Models for training general practitioners in the UK, U. S. and China: A comparative study [J]. Chinese General Practice, 2018, 21(22): 2660–2663, 2667. Chinese. 链接1

[10] 任菁菁, 方才妹, 王嘉, 等. 澳大利亚的全科医学服务体系简介 及启示 [J]. 中华全科医师杂志, 2014, 13(12): 970–973. Ren J J, Fang C M, Wang J, et al. General practice system in Australian [J]. Chinese Journal of General Practitioners, 2014, 13(12): 970–973.
Ren J J, Fang C M, Wang J, et al. General practice system in Australian [J]. Chinese Journal of General Practitioners, 2014, 13(12): 970–973. Chinese.

[11] 殷培, 刘颖, 任菁菁. 国内外全科医疗服务体系的对比研究 [J]. 中国全科医学, 2016, 19(1): 8–11. Yin P, Liu Y, Ren J J. Comparison of general practice system in China and abroad [J]. Chinese General Practice, 2016, 19(1): 8–11.
Yin P, Liu Y, Ren J J. Comparison of general practice system in China and abroad [J]. Chinese General Practice, 2016, 19(1): 8–11. Chinese. 链接1

[12] 张小娟, 朱坤. 部分发达国家全科医生薪酬支付方式介绍 [J]. 中 国全科医学, 2014, 17(17): 1931–1933, 1936. Zhang X J, Zhu K. Review of remuneration of general practitioners in some developed countries [J]. Chinese General Practice, 2014, 17(17): 1931–1933, 1936.
Zhang X J, Zhu K. Review of remuneration of general practitioners in some developed countries [J]. Chinese General Practice, 2014, 17(17): 1931–1933, 1936. Chinese. 链接1

[13] 刘颖, 陈韶华, 邱艳, 等. 中国亚专长全科医师培养现状及建议 [J]. 中国全科医学, 2018, 21(22): 2664–2667. Liu Y, Chen S H, Qiu Y, et al. GPs with special Interests training in China and relevant recommendations [J]. Chinese General Practice, 2018, 21(22): 2664–2667.
Liu Y, Chen S H, Qiu Y, et al. GPs with special Interests training in China and relevant recommendations [J]. Chinese General Practice, 2018, 21(22): 2664–2667. Chinese. 链接1

相关研究