The restrictive factors and optimization of continuing medical education policy for general practitioners in China

Postgraduate medical education is an important part of the medical education system, and it plays an increasingly important role in enhancing the postgraduate competence of general practitioners (GP) and improving the level of grassroots medical services. At present, GP training in China is in the stage of exploration and improvement, and GP training still faces many problems. Among them, the difficulty of implementation and the discrepancy in the effectiveness of implementation are the limiting factors for the further promoting of GP training. Based on the understanding of the development process and implementation status of continuing medical education the GP training policy, this study takes the theoretical framework of Smith ' s policy implementation model as a guide to analyze the difficulties in implementing the GP training policy from multiple perspectives: the policy itself, the policy implementing agencies, the policy target groups, and policy implementation environment. Research has found that the policy of continuing medical education for general practitioners in China is not systematic enough, and the policy plan is disconnected from the needs; Poor collaborative management among executing agencies, lack of supervision and assessment during the implementation process, and insufficient quantity and quality of general faculty; There are differences in the training needs of general practitioners, insufficient participation enthusiasm, regional economic differences, low resident recognition, and low professional identity of general practitioners in terms of economic and social policy environment, which are important factors hindering policy implementation. Based on this, it is suggested that the main aspects to break through the Restrictive factors for the implementation of China ' s continuing medical education policy include improving the design of policy frameworks, clarifying the responsibilities of implementing agencies and strengthening the implementation capabilities, enhancing the enthusiasm of target groups to participate, and perfecting the implementation environment of the policy on continuing medical education in general practice. This will explore the optimization path for the sustainable development of continuing medical education for general practitioners in China.