2023年世界家庭医生组织欧洲分会修订全科医学/家庭医学定义的主要内容及其意义

doi:10.12114/j.issn.1007-9572.2024.0658

中国全科医学 ›› 2025, Vol. 28 ›› Issue (22): 2712-2719.DOI: 10.12114/j.issn.1007-9572.2024.0658

• 世界全科医学工作研究 • 上一篇下一篇

2023年世界家庭医生组织欧洲分会修订全科医学/家庭医学定义的主要内容及其意义

杨信¹, 王宏², 韩建军³, 梁万年⁴^,^*(), 胡丙杰¹^,²^,⁵^,⁶^,^*()

1．510120　广东省广州市，广州医科大学附属第一医院全科医学科
2．510260　广东省广州市，广州医科大学附属第二医院全科医学科
3．100007　北京市，海峡两岸医药卫生交流协会
4．100084　北京市，清华大学万科公共卫生与健康学院
5．511436　广东省广州市，广州医科大学
6．511436　广东省广州市，广东省高校基于大数据利用的卫生健康治理哲学社会科学重点实验室

收稿日期:2025-02-13 修回日期:2025-03-11 出版日期:2025-08-05 发布日期:2025-06-30
通讯作者: 梁万年, 胡丙杰
杨信与王宏为共同第一作者

作者贡献：
胡丙杰提出选题方向，对文章负责；杨信、王宏、胡丙杰负责资料收集与整理，翻译并撰写论文初稿；韩建军、梁万年、胡丙杰负责文章的质量控制及审校；所有作者确认了论文终稿。
基金资助:
广东省教育厅继续教育质量提升工程项目(JXJYGC2021DY0231); 广东省教育厅研究生教育创新计划项目(2021JGXM090，2023JGXM_111); 广州市教育科学规划课题(教学成果培育项目：2024111312); 广州医科大学科研能力提升计划医院管理专项(2025SRP047)

The 2023 WONCA Europe Revised Definition of General Practice/Family Medicine: the Main Contents and Its Implications

YANG Xin¹, WANG Hong², HAN Jianjun³, LIANG Wannian⁴^,^*(), HU Bingjie¹^,²^,⁵^,⁶^,^*()

1. Department of General Practice, the First Affiliated Hospital, Guangzhou Medical University, Guangzhou 510120, China
2. Department of General Practice, the Second Affiliated Hospital, Guangzhou Medical University, Guangzhou 510260, China
3. Cross-Straits Medicine Exchange Association, Beijing 100007, China
4. Tsinghua University Vanke School of Public Health, Beijing 100084, China
5. Guangzhou Medical University, Guangzhou 511436, China
6. Philosophy and Social Sciences Key Laboratory of Guangdong Higher Education Institutes for Health Governance Based on Big Data Utilization, Guangzhou 511436, China

Received:2025-02-13 Revised:2025-03-11 Published:2025-08-05 Online:2025-06-30
Contact: LIANG Wannian, HU Bingjie
About author:
YANG Xin and WANG Hong are co-first authors

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摘要/Abstract

摘要： 世界家庭医生组织欧洲分会（WONCA Europe）于2023年发布新版《欧洲全科医学/家庭医学定义》，旨在适应全球健康挑战和医疗体系变革需求。此次修订强调了"同一健康"（One Health）、"地球健康"（Planetary Health）及"可持续性"（Sustainability）在全科医学/家庭医学领域的重要性，标志着全科医学从传统"个体-家庭-社区"模式向"全球生态系统健康"的范式转型。本文旨在介绍2023年《欧洲全科医学/家庭医学定义》的修订背景、主要内容、意义及影响，主要内容涉及全科医学/家庭医学的服务系统特征、全科医学/家庭医学的专业范畴、全科医生/家庭医生的核心胜任力、全科医学/家庭医学的基本应用特征、全科医学/家庭医学的实施基石。了解上述内容，对于我国全科医学发展具有重要启示和指导价值。

关键词: 全科医学/家庭医学, 定义, 世界家庭医生组织欧洲分会, 同一健康, 地球健康, 可持续性

Abstract:

WONCA Europe released an updated version of the European Definition of General Practice/Family Medicine in 2023, addressing global health challenges and the imperative to transform healthcare systems. This revision underscores the importance of "One Health" "Planetary Health" and "Sustainability" within the domain of general practice/family medicine, signifying a paradigm shift from the traditional "individual-family-community" model to a "global ecosystem health" framework. This paper aims to elucidate the background, main content, significance, and impact of the 2023 revision of the European Definition of General Practice/Family Medicine, which primarily explores the characteristics of the discipline of general practice/family medicine service system, the scope of specialization general practice/family medicine, the core competencies of general practitioners/family doctors, the essential application features and the implementation bedrock of general practice/family medicine. All of the above-mentioned aspects possess crucial enlightenments and guiding value for the development of general practice in China.

Key words: General practice/family medicine, Definition, WONCA Europe, One health, Planetary health, Sustainability

中图分类号:

R 197

杨信,王宏,韩建军,等. 2023年世界家庭医生组织欧洲分会修订全科医学/家庭医学定义的主要内容及其意义[J]. 中国全科医学, 2025, 28(22): 2712-2719. DOI: 10.12114/j.issn.1007-9572.2024.0658.
YANG Xin,WANG Hong,HAN Jianjun, et al. The 2023 WONCA Europe Revised Definition of General Practice/Family Medicine: the Main Contents and Its Implications[J]. Chinese General Practice, 2025, 28(22): 2712-2719. DOI: 10.12114/j.issn.1007-9572.2024.0658.

图/表 1

参考文献 17

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2023年世界家庭医生组织欧洲分会修订全科医学/家庭医学定义的主要内容及其意义

The 2023 WONCA Europe Revised Definition of General Practice/Family Medicine: the Main Contents and Its Implications

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