General practitioners of traditional Chinese medicine (TCM), known as the "gatekeepers" of residents' health, provide continuous services to them. Recently, China has rolled out a series of policies aimed at supporting the growth of the workforce of TCM general practitioners and has made it a key development indicator, which holds great importance for advancing the TCM cause.

In alignment with the development goals outlined in the "14th Five-Year Plan" for the Development of TCM, this study analyzes the current status of the TCM general practitioner workforce in China, explores the optimization of statistical methodologies for TCM general practitioners, and proposes corresponding countermeasures and suggestions.

Based on data from the China Health Statistics Yearbook from 2021 to 2023 and special survey data, the difference between the actual number of TCM general practitioners in 2020 and 2022 and the planned number for 2025 was calculated. The completion rate of the planning targets was then computed based on these differences. A comparative method was used to analyze the data.

In 2022, the number of TCM general practitioners per 10 000 population was 0.75, representing an increase of 13.27% compared to 2020, with an average annual growth rate of 6.43%. There were significant regional disparities in the distribution of TCM general practitioners per 10 000 population, with the eastern, central, and western regions decreasing in that order, at 0.88, 0.68, and 0.61 respectively. The national completion rate for the TCM general practitioner workforce plan was 66.76%, indicating good overall progress. A total of 17 provinces (municipalities, autonomous regions) achieved a completion rate of 40% or higher for their TCM general practitioner workforce planning targets, with 11 of them exceeding their targets. Additionally, 14 provinces (municipalities, autonomous regions) made slower progress, including 9 provinces where the completion rate was negative. Based on special assessment data, calculations were made for TCM general practitioners from the perspectives of functional positioning and scope of practice, with 9 provinces and 20 provinces achieving their planning targets ahead of schedule, respectively.

Currently, the statistical count of TCM general practitioners is directly influenced by the number of general practitioners, leading to significant impacts on the count of TCM general practitioners when there are changes in the statistical criteria for general practitioners. It is necessary to further clarify the definition and statistical scope of TCM general practitioners, and strengthen the monitoring and evaluation of TCM general practitioner indicators to ensure the smooth achievement of planning targets.

中医全科医生为居民提供连续性中医药服务，被称作居民健康的"守门人"。近年来，我国出台了一系列政策支持中医全科医生队伍发展，并将其作为主要发展指标之一，对推动中医药事业发展具有重要意义。

对标"十四五"中医药规划发展目标，分析我国中医类别全科医生队伍的发展现状，探讨中医类别全科医生统计优化口径，提出对策建议。

基于2021—2023年《中国卫生健康统计年鉴》和专题调查数据，分别计算中医类别全科医生的2020年和2022年的实际配置数与2025年规划数的差值，并依据此差值计算规划目标完成率，采用对比方法对数据进行分析。

2022年万人口中医类别全科医生为0.75人，较2020年增加13.27%，年均增长6.43%。各地区万人口中医类别全科医生配置差异较大，东部、中部、西部依次降低，分别为0.88人、0.68人和0.61人。全国中医类别全科医生规划完成率为66.76%，整体进度较好。共计17个省份的中医类别全科医生规划目标完成率达到40%，其中11个省份超额完成目标，另外有14个省份进展较慢，其中有9个省份规划目标完成率为负。通过专题调查数据分别从功能定位和执业范围两个角度对中医类别全科医生进行测算，分别有9个省份和20个省份提前实现规划目标。

目前中医类别全科医生的统计数量受全科医生数量的直接影响，导致全科医生统计口径的变化对中医类别全科医生的数量变化影响较大。需进一步明确中医类别全科医生的定义、统计范畴，加强中医类别全科医生指标的监测和评估，以确保规划目标的顺利实现。