Volume 24 Issue 3
Mar.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(3): 357-361
HE Jia, MU Qiong, HE Qian. Research on the development pathway of general practice specialty: based on provincial clinical key specialty construction practices and national strategies[J]. Chinese Journal of General Practice, 2026, 24(3): 357-361. doi: 10.16766/j.cnki.issn.1674-4152.004397
Citation: HE Jia, MU Qiong, HE Qian. Research on the development pathway of general practice specialty: based on provincial clinical key specialty construction practices and national strategies[J]. Chinese Journal of General Practice, 2026, 24(3): 357-361. doi: 10.16766/j.cnki.issn.1674-4152.004397
shu

Research on the development pathway of general practice specialty: based on provincial clinical key specialty construction practices and national strategies

doi: 10.16766/j.cnki.issn.1674-4152.004397

  • Department of General Practice, the Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou 550004, China

Funds:

 S-2023ZDZK-10

  • Received Date: 2025-08-13
    Available Online: 2026-06-02
    Abstract
  •   Objective  Drawing on provincial key clinical specialty construction practices and national strategic priorities, this study explores effective pathways and outcomes for developing key clinical specialties in general practice. It aims to provide practical references for deepening healthcare reform and advancing the implementation of hierarchical diagnosis and treatment.  Methods  Taking the 2023 provincial-level clinical key specialty construction project at the Affiliated Hospital of Guizhou Medical University as a platform, a series of interventions were implemented, including the development of a structured talent echelon, innovation in diagnosis and treatment systems, and the integration of research and teaching. Based on key data collected from 2020 to the first half of 2025, changes in indicators such as medical service efficiency and hierarchical diagnosis and treatment capacity were analyzed to evaluate the effectiveness of implementation. Additionally, differences in medical models between eastern and western regions were compared.  Results  Following the implementation of the project, healthcare service efficiency significantly improved. In the first half of 2025, the number of general practice inpatients reached 805, representing a 27.6% year-on-year increase compared to the same period in 2024. The average length of hospital stay decreased from 9.7 days to 8.2 days, while the bed turnover rate improved from 90% to 95%. The hierarchical diagnosis and treatment system achieved notable outcomes: referrals from primary to tertiary hospitals and from tertiary to primary care institutions increased by 75.8% and 108.6%, respectively. The standardized management rate for chronic diseases improved from 65% to 91%, and community satisfaction increased from 92% to 98%. The pass rate for resident physicians in the national licensing examination rose from 55.8% (24/43) to 95.0% (38/40). Over the past three years, the total output of teaching and research achievements grew by 188%. Significant differences were observed between eastern and western regions in terms of technical support, human resource allocation, and applicable conditions.  Conclusion  Through the "three-dimensional integration" approach encompassing talent, technology, and management, primary care service capacity was effectively enhanced, the implementation of hierarchical diagnosis and treatment was promoted, and comprehensive improvements were achieved in service efficiency, chronic disease management, and talent cultivation capabilities. In the future, policy coordination and digital empowerment should be strengthened to advance the transformation of general practice toward quality-driven development. This study offers a replicable and cost-effective practical model for the development of general practice specialties in underdeveloped western regions.

     

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