我国全科医学科研发展的回溯与展望：发展历史、研究领域及瓶颈分析

王朝昕; 陈宁; 刘茜; 徐康捷; 杨燕; 薄小杰; 石建伟; 黄蛟灵; 唐岚

doi:10.16766/j.cnki.issn.1674-4152.000865

我国全科医学科研发展的回溯与展望：发展历史、研究领域及瓶颈分析

doi: 10.16766/j.cnki.issn.1674-4152.000865

王朝昕^1, ,,
陈宁²,
刘茜³,
徐康捷³,
杨燕³,
薄小杰²,
石建伟^1,4,
黄蛟灵¹,
唐岚⁵

1. 上海交通大学医学院, 上海 200025;
2. 同济大学医学院, 上海 200092;
3. 同济大学经济与管理学院, 上海 200092;
4. 同济大学附属杨浦医院全科医学系, 上海 200090;
5. 上海市浦东新区潍坊社区卫生服务中心, 上海 200122

基金项目:

国家自然科学基金面上项目(71774116)；国家自然科学基金青年基金项目(71603182,71804128)

详细信息

通讯作者:
王朝昕,E-mail:supercell002@sina.com

中图分类号: R499;R197.61
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出版历程
- 收稿日期: 2019-05-10

The retrospect and prospect of the development of general practice research in China—the analysis of development, research fields and bottlenecks

Medical School of Shanghai Jiao Tong University, Shanghai 200025, China

摘要

摘要: 目的分析我国全科医学科研的发展沿革及现阶段发展状况，总结我国全科科研发展瓶颈，为中国全科医学科研进一步发展提供启示。方法系统回顾我国全科医学科研的发展历史和现阶段全科科研发展状况。以“全科医学”“全科医生”“家庭医生”“全科团队”“社区卫生”为关键词，对中国知网、万方数据库、维普及Web of Science、Pubmed数据库中1990年以来近30年的文献加以荟萃分析，归纳我国全科医学科研的主要领域和方向。结果全科科研发展可分为3个阶段：1986—1996年为萌芽阶段，1997—2009年为初期成长阶段，2010年至今为加速发展阶段。全科科研的六大主要研究领域为：全科医学教育与全科医师培训、全科医疗服务模式、人群健康促进与疾病预防、疾病治疗与临床疗效、社区康复延续性管理、全科医生绩效评价与岗位胜任力。全科科研发展核心瓶颈：研究对象存在局限性，研究方法与研究能力滞后于专科，研究领域存在空白地带。全科科研应为围绕社区人群健康展开的涵盖预防医学、临床医学、康复医学、公共卫生、人文社会学科及管理等领域的科学研究。结论我国全科医学的科研发展应进一步明确其核心内涵，打造以临床实践为导向的全科团队，开辟一条具有全科医学特色的科研道路，以促进全科医学科研的全面可持续发展。
- 全科医学 /
- 科研 /
- 研究领域 /
- 瓶颈 /
- 发展
Abstract: Objective To analyze the development and current situation of general practice research in China and summarize the bottlenecks for enlightening further development of general practice of scientific research in China. Methods Published studies on the history and current situation of general practice research in China were systematically reviewed and analyzed. We searched CNKI database, Wanfang database, VIP database, Web of Science and Pubmed for articles about general practice published between 1990 and 2019 using "General Practice" or "General practitioner" or "Family Doctor" or "Team of General Practitioners" or "community health" as terms. Results The development of the general practice research can be divided into three stages: embryonic stage (from 1986 to 1996), initial growth stage (from 1997 to 2009) and accelerated developing stage (2010 and afterwards). Six main research fields of general practice include general practice education and training of general practitioners, models of health care in general practice, health promotion and disease prevention, disease treatment and clinical efficacy, community rehabilitation and continuous management, performance evaluation and post competency of general practitioners. The core bottlenecks in the development of general practice research include the limited research objects, the research method and ability deficiencies, and the blank areas in research fields. The general practice research should cover the fields of preventive medicine, clinical medicine, rehabilitation medicine, public health, humanities, and social science and management, which should be conducted with the core of health of community population. Conclusion The development of the general practice research should clarify its core connotation accurately, build a clinical practice-oriented general practitioners' team, and open up a scientific research road with the characteristics of general practice, so as to promote the comprehensive and sustainable development of the general practice research.
- General practice /
- Scientific research /
- Research fields /
- Bottleneck /
- Development