中国全科医学 ›› 2022, Vol. 25 ›› Issue (16): 1929-1934.DOI: 10.12114/j.issn.1007-9572.2022.0024

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《医师法》背景下乡村全科执业助理医师制度困境与消解

赵越, 刘兰秋*()   

  1. 100069 北京市,首都医科大学医学人文学院
  • 收稿日期:2021-11-30 修回日期:2022-04-04 出版日期:2022-06-05 发布日期:2022-04-21
  • 通讯作者: 刘兰秋
  • 赵越,刘兰秋. 《医师法》背景下乡村全科执业助理医师制度困境与消解[J].中国全科医学,2022,25(16):1929-1934. [www.chinagp.net]
    作者贡献:赵越、刘兰秋负责论文构思、设计与修订;赵越负责文献/资料收集与整理,并撰写论文,对文章整体负责。
  • 基金资助:
    北京市社科基金重点决策咨询项目--疫情防控背景下北京市村级卫生人力资源配置现状及对策研究(20JCB004)

The Predicament and Solution of the General Assistant Practitioners in Rural Areas under the Background of the Medical Practitioner Law

Yue ZHAO, Lanqiu LIU*()   

  1. School of Medical Humanities, Capital Medical University, Beijing 100069, China
  • Received:2021-11-30 Revised:2022-04-04 Published:2022-06-05 Online:2022-04-21
  • Contact: Lanqiu LIU
  • About author:
    ZHAO Y, LIU L Q. The predicament and solution of the general assistant practitioners in rural areas under the background of the Medical Practitioner Law[J]. Chinese General Practice, 2022, 25 (16) : 1929-1934.

摘要: 《执业医师法》及近期通过的《医师法》都未明确规定乡村全科执业助理医师资格考试的相关事项,导致实践中乡村全科执业助理医师群体在资格准入和执业中面临着诸多困境,不利于农村基层医疗卫生队伍的建设。本文梳理了乡村全科执业助理医师资格考试的政策演变,归纳了乡村全科执业助理医师在法律地位、执业权利、职业认同感三方面的现实困境,论证了乡村全科执业助理医师资格考试法制化的可行性,进而提出通过立法健全乡村全科执业助理医师制度的路径及具体内容。

关键词: 乡村医生, 全科医生, 医师资格考试, 医师法, 乡村医生从业管理条例, 卫生人力

Abstract:

Neither the Law on Practicing Doctors nor the recently passed Medical Practitioner Law has clearly stipulated the qualification examination for general assistant practitioners in rural areas, which has led to many difficulties faced by the general assistant practitioners in rural areas, impacting negatively on the construction of primary health care team in rural areas. This paper sorted out the policy evolution of the qualification examination of the general assistant practitioners in rural areas; summarizesd the existing problems faced by general assistant practitioners in rural areas in three aspects, namely legal identity, protection of practicing rights, and professional self-identity; demonstrated the feasibility of legalizing the qualification examination of general assistant practitioners in rural areas, and put forward the path and specific content of perfecting the general assistant practitioners in rural areas through legislation.

Key words: Rural doctors, General practitioners, Physician qualification tests, Medical Practitioner Law, Regulations on Occupation Management of Rural Doctors, Health workforce