Journal Home Online First Current Issue Archive For Authors Journal Information 中文版

Strategic Study of CAE >> 2019, Volume 21, Issue 2 doi: 10.15302/J-SSCAE-2019.02.005

Current Status and Development Strategies of General Practitioner Training in China

1. General Practice Department, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China;

2. Education Department, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China

Funding project: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) Received: 2019-01-15 Revised: 2019-03-05 Available online: 2019-04-15

Next Previous

Abstract

After nearly 30 years of exploration and practice, a “5+3” and “3+2” general practitioner (GP) training mode has been preliminarily established in China. However, China still lacks qualified GPs. In this paper, after analyzing the current situation of GP training in China, we found that the post of GP is unattractive in China; the GP training system is incomplete and lacks a process assessment mechanism; the certification and re-certification mechanisms of training bases are incomplete; and the continuous vocational development education needs to be standardized. Then, we summarize the experiences of some major countries in the world, and propose the following policy recommendations: improving the remuneration of GPs, establishing a comprehensive GP training system focusing on post competence, establishing a normalized assessment and certification mechanism for GP training bases, and setting up continuous vocational education bases for GPs.

References

[ 1 ] 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 ] 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. link1

[ 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. link1

[ 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. link1

[ 6 ] 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. link1

[ 7 ] Su M. Study on salary level of community health technicians [D]. Taiyuan: Shanxi Medical University (Master’s thesis), 2017. Chinese. link1

[ 8 ] 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. link1

[ 9 ] 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. link1

[10] 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] 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. link1

[12] 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. link1

[13] 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. link1

Related Research