| 摘要: |
| 培养大批合格全科医师、推进分级诊疗制度是深化医药卫生体制改革和实施“健康中国战略”的关键举措。我国全科医学历经30余年的发展，在人才队伍建设、培养体系建立、服务模式探索、科学研究开展等方面取得显著成效，但由于起步晚、基础差，目前仍面临全科医学人才数量与质量有待提升、师资队伍与培养模式有待优化、分级诊疗制度落实不到位、科研项目申请渠道不畅通、职业吸引力低下等挑战。建议多措并举，提高全科医师培养质量和人才数量，以正确的舆论引导大众转换就医观念，增设全科医学科研专项、拓宽科研通道，改革激励与晋升机制、增强职业吸引力，促进全科医学持续发展。 |
| 关键词: 全科医学 全科医师 现状和发展 挑战 |
| DOI：10.16781/j.CN31-2187/R.20220737 |
| 投稿时间：2022-09-18修订日期：2023-02-23 |
| 基金项目:海军军医大学（第二军医大学）第一附属医院“深蓝123重点攻关项目”（2019SLZ002）、“234学科攀峰计划”（2019YXK018）、教学成果立项重点培育项目（CHPY2021A05）. |
|
| General practice in China: status and challenges |
| CHENG Xiaolong,SHANG Yan*,HAN Yiping |
(Department of General Practice, The First Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Training a large number of qualified general practitioners and promoting the hierarchical medical system are key measures to deepen the reform of the medical and health system and implement the “Healthy China Strategy”. After more than 30 years of development, China’s general practice has made significant progress in the cultivation of a talent team, the establishment of a training system, the exploration of service models, and the cultivation of scientific research. However, China’s general practice started late and has a poor foundation. At present, it still faces challenges: quantity and quality of talents need to be improved, the teaching staff and training mode need to be optimized, the hierarchical medical system is not fully implemented, the application channels of research projects are not smooth, and the career attraction is low. Multiple measures should be taken to improve the quantity and quality of general practitioners, to guide the public opinion on seeking medical treatment, to set up more specific funds of general practice to expand the scientific research of general practice, and to reform the incentive and promotion mechanism to enhance the career attraction, so as to promote the sustainable development of general practice. |
| Key words: general practice general practitioners status and development challenges |
