中国全科医学 ›› 2019, Vol. 22 ›› Issue (19): 2267-2279.DOI: 10.12114/j.issn.1007-9572.2019.00.351

• 专题研究 •    下一篇

中国全科医生队伍建设的发展、挑战与展望

杨辉1,韩建军2,许岩丽2   

  1. 1.3168 Monash University,Melbourne,Australia
    2.100053北京市,中国全科医学杂志社
  • 出版日期:2019-07-05 发布日期:2019-07-05

General Practice Workforce in China:Development,Challenges and Outlooks 

YANG Hui1,HAN Jianjun2,XU Yanli2   

  1. 1.Monash University,Melbourne 3168,Australia
    2.Publishing House of Journal of Chinese General Practice,Beijing 100053,China
  • Published:2019-07-05 Online:2019-07-05

摘要: 新医改10年,是中国全科人力发展的积极探索和迅猛发展阶段。目前,中国的全科医生数量不断增长,全科医生教育培养工作取得积极进展,但依然存在着一些需要持续改进的方面。本文以中国全科医生队伍建设历程和现状为基础,分析了目前中国全科人力发展的尚存问题,并给出了针对性建议。作者认为,全科人力资源的功能定位、全科医生质量和绩效管理、城乡和地区间的全科人力数量和质量差距、全科医学师资结构以及医学和教育双能力、全科医学学科和学术建设、全科人力发展及服务的质量和创新,是接下来中国全科医学发展的重点关注方面。从医学早期教育开始全科培训,以综合维度的需要为计划和培训导向,贯穿医学本科、住院医师规范化培训、职业培训、持续职业发展各阶段,规划全科医学教育的蓝图和路径,充分重视和加强全科医学的学科建设与研究,支持全科师资和导师培养,是中国全科人力资源可持续健康发展的综合性措施。

关键词: 全科医学;全科医生;卫生人力;教育, 医学;师资培训;学科发展;质量改进;卫生保健差异

Abstract: The last 10 years of new healthcare reform to date is a positive stage of active and rapid exploration of human resource development of general practitioners(GPs) in China.At present,the number of GPs in China is significantly growing and the GP training has made positive progress.However,there are still some aspects that need further and continuous improvement.Based on brief review of history of the last decade and current situation of the workforceof Chinese general practice,this paper analyses the existing problems of its human resource development and gives some specific recommendations.The authors believe that identifying orientation of primary care human resource,the quality and performance management of GPs,the number and quality gaps of GPs between urban and rural areas and across regions,the structure of general practice supervisors and mentors,and medical-educational dual abilities of trainers,the discipline and academic construction of general practice,and the quality and innovation of human resource development and services of general practiceare the key concerns for further development of general practice in China. Exploring general practice in the early stage of medical education for students,comprehensive measures for the sustainable and healthy human resource development of GPs in China may consider to take the needs of multiple dimensions as the orientation to establish the blueprint and roadmap of general practice education in order to pay full attention. To strengthen the discipline academic constructionand leadership and mentor development,to enhance scientific research in areas of general practice,and to support the training of clinical supervisorsof general practiceare including but not limited to the recommendations.

Key words: General practice;General practitioners;Health manpower;Education, medical;Teacher training;Subject construction;Quality improvement;Healthcare disparities