中国全科医学 ›› 2026, Vol. 29 ›› Issue (28): 4092-4099.DOI: 10.12114/j.issn.1007-9572.2024.0487

• 全科医学教育研究 • 上一篇    下一篇

农村及偏远地区卫生人才培养模式的国际经验及启示

陈皓阳1, 朱虹1, 段严寒1, 席彪2,*(), 吴海江1,*()   

  1. 1.050000 河北省石家庄市,河北医科大学医教协同与医学教育研究中心
    2.050000 河北省石家庄市,河北医科大学河北省健康发展研究中心
  • 收稿日期:2025-07-25 修回日期:2026-04-23 出版日期:2026-10-05 发布日期:2026-09-02
  • 通讯作者: 席彪, 吴海江

  • 作者贡献:

    陈皓阳负责文章构思及文章撰写;朱虹负责数据的收集、整理及文章撰写;段严寒负责相关文献收集整理和归纳;席彪负责文章的指导;吴海江负责文章的质量控制与审查,对文章整体负责。

  • 基金资助:
    河北省社会科学基金项目(HB24SH006)

International Experience and Enlightenment of Training Mode of Health Talents in Rural and Remote Areas

CHEN Haoyang1, ZHU Hong1, DUAN Yanhan1, XI Biao2,*(), WU haijiang1,*()   

  1. 1. Medicine-education Coordination and Medical Education Research Center, Hebei Medical University, Shijiazhuang 050000, China
    2. Hebei Health Development Research Center, Hebei Medical University, Shijiazhuang 050000, China
  • Received:2025-07-25 Revised:2026-04-23 Published:2026-10-05 Online:2026-09-02
  • Contact: XI Biao, WU haijiang

摘要: 为应对全球卫生人力区域分布失衡的问题,世界多国卫生行政部门根据本国国情实施了多样化的人才培养项目。我国自2010年起推行农村订单定向医学生免费培养政策,旨在缓解基层卫生服务体系中的人才短缺问题。尽管政策已实施多年,但基层卫生人员的缺口仍然较大,优化和拓展人才培养模式仍是当前的重要任务。为汲取国际经验,给我国基层卫生人才培养政策提供有益措施。本文基于内容分析法,对世界多个国家在农村及偏远地区开展的卫生人才培养政策进行归纳与比较,分析其主要项目形式及运行特点,并将其概括为定向培养模式、激励模式和区域医学教育模式三种类型,并归纳总结三类模式的定义、特征及局限,同时指出部分项目失败的共性原因。总的来说国外在农村及偏远地区卫生人才培养方面经验丰富、体系较为成熟,而我国目前仍以定向医学生制度为主,培养路径相对单一。因此,在充分结合国外经验的基础上,针对我国现实情况,提出了多维度的政策措施与实践建议,可为我国农村及偏远地区卫生人才培养提供有益参考。

关键词: 农村卫生, 教育,医学, 卫生人力, 农村和偏远社区

Abstract:

To address global geographical disparities in healthcare workforce distribution, various countries have implemented diverse talent training programs tailored to their specific contexts. Since 2010, China has introduced a policy for the free training of medical students under a rural-oriented scheme, aimed at alleviating the shortage of healthcare professionals in grassroots medical services. Despite years of implementation, there remains a significant gap in the availability of healthcare personnel at the grassroots level, highlighting the need to optimize and expand training models. This study draws on international experiences to provide valuable insights for China's grassroots healthcare talent cultivation policies. Utilizing content analysis, the study summarized and compared healthcare talent training policies across several countries focusing on rural and remote areas, identifying three primary models: targeted training, incentive-based models, and regional medical education frameworks. Each model was defined, characterized, and assessed for its limitations, while common reasons for the failure of certain programs were also discussed. Overall, while international experiences in training healthcare personnel for rural and remote regions are extensive and well-established, China predominantly relies on a targeted medical student system, resulting in a relatively narrow training pathway. Therefore, building on international experiences and considering the current situation in China, this study proposes multidimensional policy measures and practical recommendations to enhance the cultivation of healthcare talent in rural and remote areas, providing valuable references for improving healthcare services in these regions.

Key words: Rural health, Education, medical, Health workforce, Rural and remote communities

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