关键词: 全科医生；教育, 医学；卫生人力

Abstract: Sufficient and qualified general practitioners（GPs）are essential in establishing the "Gatekeeper health care system"，in which the patient's first consultation must be made by the GP.At present，the quantity of general practitioners in China is inadequate and cannot meet the actual demand within a short period of time.Meanwhile，the training and practice of general practitioners are disconnected，thus producing another problem in China.All of these directly affect the establishment of the "Gatekeeper system".This study took the "5+2+1 joint medical education model for general practitioners" at Guangzhou Medical University as an example and investigated the cause as to why students enrolled in this program from 2012 to 2016 were reluctant to practice as general practitioners.Through semi-structured interviews，the researchers try to find out the actual cause comparing training models at home and abroad and researching relevant data.The results showed that，on the surface，the causes included low income，poor working conditions，low social status，and poor career development prospects.But the root causes involved the medical system，the education system，the social security mechanism and the incentive mechanisms.Therefore，it is suggested that at the national level，the "Gatekeeper system" should be subject to legal restraint；establish a qualified recruitment and targeted training system for general practice；improve the working environment；develop a revised promotion system for general practitioners and strengthen the adjustment mechanism of medical insurance.Last but not least，the living conditions of general practitioners should be guaranteed to a certain extent by the government.

Key words: General practitioners；Education, medical；Health manpower