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    The RACGP's General Practice Crisis Summit and Its Implications
    YANG Hui
    Chinese General Practice    2023, 26 (01): 11-13.   DOI: 10.12114/j.issn.1007-9572.2022.W0003
    Abstract671)   HTML27)    PDF(pc) (1163KB)(539)       Save

    The General Practice Crisis Summit was held by the Royal Australian College of General Practitioners (RACGP) in early October, 2022. Attendees, including general practice experts and healthcare stakeholders in Australia, engaged in intensive roundtable discussions around three key issues of funding models required to support general practice development, addressing the erosion of the general practice workforce, and improving the capture and meaningful use of data, hoping to explore appropriate solutions to these issues and the future development of general practice. We analysed the background and the contents of the summit, as well as the international development and associated factors in general practice, aiming at informing Chinese colleagues about frontiers and advances in general practice.

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    Research Progress and Prospects of Incentive Mechanisms for General Practitioners in China and Abroad
    PAN Xuanda, YU Xiaosong, SHAN Haiyan
    Chinese General Practice    2023, 26 (01): 14-20.   DOI: 10.12114/j.issn.1007-9572.2022.0762
    Abstract1086)   HTML26)    PDF(pc) (1257KB)(1922)       Save

    General practitioners are the gatekeepers when it comes to residents' healthcare. This means that the quality and quantity of their services will play a key role in improving basic medical services. The most appropriate incentive mechanism for general practitioners can improve their ability, minimize the desire to leave, and promote the stability of teams. Currently, China lacks a comprehensive and flawless practice system, and the exploration of incentives for general practitioners is still in its infancy, and there is a lack of a complete and effective practice system. This study highlights the critical importance of incentives and incentive mechanisms. It summarizes the experience of the United Kingdom, Australia, the United States, Shenzhen, Xiamen, and Shanghai with relatively mature incentive mechanisms in China and abroad. Additionally, to summarise the current problems that still exist in the incentive mechanism for general practitioners in China (single incentive approach, lack of career attraction due to the lack of obvious incentive effect, poor science of incentives leads to uneven allocation across regions, different incentive policies across regions and slow implementation) . As part of this strategy, together with the strategy of "Healthy China", innovative ideas are put forward in terms of enrolling general practice in national key clinical specialty, establishing authoritative professional academic institutions and regulatory institutions, developing a unified performance appraisal system, improving the diversified material and non-material incentive mechanisms, improving the competition and punishment mechanisms by means of information, and forming an efficient general practitioner service teams. In order to provide new research methods for investigating the incentive system of primary general practitioners in China.

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    Enlightenment of Foreign Classical Chronic Disease Management Modes on the Management of Chronic Diseases in China
    ZHU Xuan, CHEN Aiyun
    Chinese General Practice    2023, 26 (01): 21-26.   DOI: 10.12114/j.issn.1007-9572.2022.0370
    Abstract2194)   HTML75)    PDF(pc) (1439KB)(2184)       Save

    In China, chronic disease prevalence is increasingly serious with the acceleration of urbanization, changes in lifestyle and the aging of the global population. Service provision for chronic diseases is one of the dilemmas for health service systems, and the chronic disease management model has created a new framework for it. In this paper, we mainly introduced the chronic care model, chronic disease self-management program and innovative care for chronic conditions framework, and compared them in terms of characteristics, application effects, limitations, and found that the core elements included multipronged synergy, continuous services, patient self-management, evidence-based decision making, and information technology support. The above experiences provide new ideas for the management of chronic diseases in our country: to establish a government-led and multi synergistic management system, to improve service continuity by contracting services from family doctors, to borrow wisdom medical treatment and strengthen patient endowment, etc., in the hope of achieving better chronic disease management outcomes.

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