上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (10): 1364-.doi: 10.3969/j.issn.1674-8115.2012.10.019

• 论著（卫生事业管理） • 上一篇    下一篇

上海市全科医生培养可持续发展的关键问题

杨 静, 鲍 勇   

  1. 上海交通大学 |公共卫生学院, 上海 200025
  • 出版日期:2012-10-28 发布日期:2012-11-05
  • 通讯作者: 鲍 勇, 电子信箱: baoyong@sjtu.edu.cn。
  • 作者简介:杨 静（1980—）, 女, 硕士生；电子信箱: eryilvdi@163.com。
  • 基金资助:

    上海市卫生局基金（2010HP007）

Key problems in sustainable development of training of general practitioners in Shanghai

YANG Jing, BAO Yong   

  1. School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2012-10-28 Published:2012-11-05
  • Supported by:

    Shanghai Municipal Health Bureau Foundation, 2010HP007

PDF (PC)

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摘要：

目的 寻找上海市全科医生培养中的症结，为全科医生规范化培养制度的落实及相关政策的制定提供可行性建议。方法 对上海市3个区的1 300名基层医务人员和2所大学中的400名医学生就全科医生培养相关情况进行问卷调查，问卷内容主要包括被调查者的基本情况、就业意向、全科医生现状满意度调查以及对家庭医生制度的执行反馈等。结果 通过基本情况分析，上海市现职基层医务人员学历层次、职称情况等距离国际通用标准和国家文件要求还有一定差距，医学生对全科医生职业认同度较低，就业仍主要倾向专科医生（78.6%），仅4.6%的医学生将全科医生作为首选职业。基层医务人员对社会环境、个人发展等满意度偏低，在综合满意度调查中，15.2%的人明确选择了不满意。结论 上海市全科医生培养中存在一些关键问题，加大舆论宣传的引导力度，加大全科医生规范化培养的力度，加大全科医学教育系统化力度，是有利于全科医生培养可持续发展的有效途径。

关键词: 全科医生, 规范化培养, 可持续发展, 政策建议

Abstract:

Objective To identify the key problems in the training of general practitioners in Shanghai, and to offer practical advice on the establishment of a standardized training system and the making of relevant policies. Methods Questionnaire survey was conducted in 1 300 general practitioners from 3 districts of Shanghai and 400 medical students from 2 universities in Shanghai on the conditions of training of general practitioners, which concerns with the demographic information, career goal, understanding of family doctor system and satisfaction level in practice. Results An analysis of the basic information revealed a shortage of of academic degree and professional title in general practitioners of Shanghai, as measured by international standards and China's national requirements. The evaluation from medical students on the profession of general practition was relatively lower, with the majority (78.6%) aiming to become specialists. Only 4.6% of medical students would take general practition as preferred career. There was a low satisfaction level in both social environment and personal development among general practitioners in practice, and 15.2% of them were dissatisfied with comprehensive situation. Conclusion There are some critical problems in the training of general practitioners in Shanghai. More image building effort, more standardized training system and more systemized curricula may help to ensure a sustainable development of training of general practitioners.

Key words: general practitioner, standardized training, sustainable development, proposal for policy making