Deepen the reform of the medical and health system: The advantages of TCM general practice in primary medical services and suggestions on the construction of talent team
-
摘要: 全科医生队伍是我国基层医疗服务体系建设的核心与基石，是基本医疗和公共卫生服务的中坚力量，加强全科医生队伍建设是提升基层医疗服务水平，进而推进落实分级诊疗政策的关键。中医药是我国传统文化的瑰宝, 其诊疗理念与全科医学有诸多相通之处，发展中医全科医学，加强中医全科医学人才队伍建设，对于丰富全科医生以及家庭医生签约服务形式、降低医疗费用、提升基层医疗服务效率以及推进分级诊疗制度落实具有重要意义。本文概述了加强中医全科医生队伍建设的必要性与可行性，分析了中医全科医学在基层医疗服务中的优势及中医全科医生队伍建设存在的问题与障碍，然后分别从中医全科医学人才培养系统的内部和外部2个角度提出对策建议。建议在系统内部通过加强中医全科医学的学科建设与师资队伍建设，完善中医类别全科医师规范化培养体系和继续教育体系的方式健全中医全科医学人才培养体系；在系统外部通过完善保障政策、加强信息化建设、构建激励机制以及加强宣传教育等方面，给中医全科医学人才队伍建设提供良好的支撑环境，提升中医全科医生的岗位吸引力，推动构建中西医结合的中国特色全科医生队伍，为提升基层医疗服务能力、缓和医患供需矛盾、构建高效的医疗服务体系提供建议。Abstract: The team of general practitioners is the core and cornerstone of China's primary medical service system and the backbone of basic medical and public health services. Strengthening the construction of the general practitioner team is the key to improving the level of primary medical services and promoting the implementation of the hierarchical diagnosis and treatment policy. Traditional Chinese medicine (TCM) is a gem of Chinese traditional culture, and its diagnosis and treatment philosophy has many similarities with general medicine. The development of TCM general medicine and the strengthening the construction of the TCM general medicine talent team are of great significance to the enrichment of the service forms of general practitioners and family doctors, reduction of medical expenses, improvement of the efficiency of primary medical services and promotion of the hierarchical medical system's implementation. This paper outlines the necessity and feasibility of strengthening the construction of the TCM general practitioner team. The advantages of TCM general practice in primary medical services and the problems in the construction of the TCM general practitioner team are analysed. Suggestions from the internal and external perspectives of the TCM general practice talent training system are put forward. Inside the system, improving the TCM general practice talent training system by strengthening the discipline construction and faculty construction of TCM general practitioners and improving the standardized training system for general practitioners of traditional Chinese medicine and continuing education system are recommended. Outside the system, improving supporting policies, strengthening informatization construction, building incentive mechanisms and strengthening publicity and education can provide a good environment for the construction of TCM general practitioners, as well as enhance the attractiveness of TCM general practitioners and promote the construction of a team of general practitioners with Chinese characteristics that integrate Chinese and Western medicine. Suggestions are provided for improving primary medical service capabilities, alleviating the contradiction between doctor and patient supply and demand, and constructing an efficient medical service system.
-
[1] 何媛媛, 李军山, 操文婷. 分级诊疗模式中全科医生制度建设研究[J]. 卫生经济研究, 2018(3): 48-50, 54. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJJ201803016.htm [2] 于晓松. 新中国成立70年以来中国全科医学发展与展望[J]. 中华全科医学, 2019, 17(11): 1797-1799. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201911001.htm [3] 武宁, 程明羕, 闫丽娜, 等. 中国全科医生培养发展报告(2018)[J]. 中国全科医学, 2018, 21(10): 1135-1142. doi: 10.3969/j.issn.1007-9572.2018.10.001 [4] 钱玺, 张宗明. 中医全科医学的哲学反思和现实思考[J]. 医学与哲学, 2020, 41(21): 75-79. doi: 10.12014/j.issn.1002-0772.2020.21.17 [5] 范转转, 向乐怡, 周桐, 等. 基于系统论视角的中医药融入家庭医生服务模式研究[J]. 中国全科医学, 2020, 23(21): 2693-2697. doi: 10.12114/j.issn.1007-9572.2019.00.660 [6] 夏海晖, 詹望桃, 匡莉, 等. 供给侧结构性改革背景下全科医疗服务体系发展的挑战、机遇与路径思考[J]. 中国社会医学杂志, 2020, 37(6): 567-570. doi: 10.3969/j.issn.1673-5625.2020.06.001 [7] 杨辉, 韩建军, 许岩丽. 中国全科医生队伍建设的发展、挑战与展望[J]. 中国全科医学, 2019, 22(19): 2267-2279. doi: 10.12114/j.issn.1007-9572.2019.00.351 [8] 陆新建, 侯进, 蔡利强. 中医药融入家庭医生工作创建社区COPD健康管理新模式[J]. 中国全科医学, 2019, 22(S1): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2019S1006.htm [9] 李子贇, 佟旭, 李海玉. 中医全科医学诊疗实践及发展优势[J]. 中华全科医学, 2020, 18(9): 1433-1436. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202009001.htm [10] 赵永烈, 张庆美, 王庆甫, 等. 中医全科医学研究生教育模式相关问题探讨[J]. 中国医药导报, 2019, 16(13): 74-77. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201913019.htm [11] 张彩霞, 胡昌盛. 我国中医药健康养老服务研究现状、热点和趋势[J]. 医学与社会, 2019, 32(6): 87-91. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH201906024.htm [12] 鄢松君. 中医全科医生在基层医疗卫生机构中的作用与地位[J]. 中医药管理杂志, 2018, 26(1): 176-177. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG201801092.htm [13] 程逸文. 中医药促进家庭医生签约服务提质增效的推进策略[J]. 智慧健康, 2018, 4(27): 15-16. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHJK201827008.htm [14] 温丽娟, 宋宗诌, 彭丽, 等. 中医全科医师规范化培养模式研究探讨[J]. 时珍国医国药, 2018, 29(3): 723-725. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY201803076.htm [15] 辛意, 刘瑾玮, 郝佳佳. 中医全科医师规培社区实践的带教模式探讨[J]. 继续医学教育, 2016, 30(12): 9-10. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJY201612006.htm [16] 施楠, 陶红兵, 黄亦恬, 等. 我国中医医疗联合体建设现状及发展策略[J]. 中国医院管理, 2018, 38(9): 8-10. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGL201809006.htm [17] 范转转, 刘园园, 杨倩, 等. 我国家庭医生签约服务存在的问题研究[J]. 卫生经济研究, 2018(11): 54-56. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJJ201811018.htm [18] 赵永烈, 张庆美, 王庆甫, 等. 中医全科医学研究生教育模式相关问题探讨[J]. 中国医药导报, 2019, 16(13): 74-77. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201913019.htm [19] 万智勇, 苏巧俐. 四川大学华西医院全科住院医师规范化培训考核评价研究[J]. 现代医药卫生, 2019, 35(15): 2409-2411. doi: 10.3969/j.issn.1009-5519.2019.15.055 [20] 庞立健, 吕晓东, 王铭钧, 等. 基于中医理论体系对全科医学发展的战略思考[J]. 中华全科医学, 2020, 18(5): 705-709. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202005001.htm -
点击查看大图
计量
- 文章访问数: 314
- HTML全文浏览量: 100
- PDF下载量: 11
- 被引次数: 0
下载:
