中国全科医学 ›› 2026, Vol. 29 ›› Issue (13): 1649-1653.DOI: 10.12114/j.issn.1007-9572.2025.0432

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中国全科医学学科发展若干问题思考

闫温馨1, 刘珏2, 梁万年1,3,*()   

  1. 1.100084 北京市,清华大学万科公共卫生与健康学院
    2.100191 北京市,北京大学公共卫生学院
    3.518055 深圳市,南方科技大学全科医学院
  • 收稿日期:2025-11-19 修回日期:2026-01-04 出版日期:2026-05-05 发布日期:2026-04-14
  • 通讯作者: 梁万年

  • 作者贡献:

    闫温馨负责查阅文献、撰写与修改论文;刘珏、梁万年负责质量控制、论文指导与审校,对文章整体负责。

  • 基金资助:
    国家自然科学基金资助项目(72474005); 清华大学文科建设"双高"计划项目-AI赋能基层医疗服务研究(2024TSG06402)

Perspectives on Key Issues of the General Practice Discipline Development in China

YAN Wenxin1, LIU Jue2, LIANG Wannian1,3,*()   

  1. 1. Vanke School of Public Health, Tsinghua University, Beijing 100084, China
    2. School of Public Health, Peking University, Beijing 100191, China
    3. College of General Practice, Southern University of Science and Technology, Shenzhen 518055, China
  • Received:2025-11-19 Revised:2026-01-04 Published:2026-05-05 Online:2026-04-14
  • Contact: LIANG Wannian

摘要: 全科医学是服务于基层医疗卫生体系建设与分级诊疗制度建设的核心二级临床学科,其高质量发展契合"健康中国2030"规划纲要要求,是应对人口老龄化、慢性病高发等重大公共卫生挑战的关键。本文围绕全科医学的学科定位与核心特征、发展驱动力及发展现状展开系统探讨,并从理论创新、方法学突破、服务质量提升、教育培训完善、科研方向聚焦、学术交流强化6个维度,提出推进全科医学学科高质量发展的具体建议,以期为构建中国特色的基本医疗卫生制度、实现健康中国战略目标提供理论支撑与实践参考。

关键词: 全科医学, 健康中国, 学科发展, 分级诊疗, 基层医疗卫生体系

Abstract:

General practice is a core secondary clinical discipline that serves the construction of the primary healthcare system and the tiered medical care system. Its high-quality development aligns with the requirements of the "Healthy China 2030" initiative and is crucial for addressing major public health challenges such as population aging and the high prevalence of chronic diseases. This paper systematically explores the disciplinary positioning, core characteristics, development drivers, and current status of General practice. Furthermore, it proposes specific recommendations to advance the high-quality development of the discipline across six dimensions: theoretical innovation, methodological breakthroughs, service quality improvement, education and training enhancement, focus of research direction, and intensification of academic exchange. The aim is to provide theoretical support and practical references for building a basic healthcare system with Chinese characteristics and achieving the strategic goals of healthy China.

Key words: General practice, Healthy China, Discipline development, Tiered diagnosis and treatment system, Primary healthcare system

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