The general practitioner "full"?

People's Daily

【 KaiLan words 】

June 22,, at the standing committee of state council, for the general practitioner system establishment and development put forward the goal:

In 2012, the community health services in every city and rural rural hospitals, will have qualified all-around doctor.

The general practitioner of the domestic many public, concerned, some fresh, some strange.

From today, the launch of "all-around doctor" series reported: "what is the general practitioner," "all-around doctor", what is "all-around doctor worry what".

The general practitioner is called "gatekeeper" residential health, hope that through this group report, let more readers come near them, understand them, familiar with them.

22, the standing committee of state council decided to establish a system of the general practitioner. What is the general practitioner? How do they provide services to people? To common people have any good? The reporter interviewed related departments and experts.

Your nearest doctor

Fudan university school of public health professor HuShan league said, the general practitioner is not new kind of physicians, the past our country enterprise, street clinic doctor, actually can also called the general practitioner. Along with the community health service center in our country, the emergence of the general practitioner name for people to know. Gradually

The general practitioner is a family doctor, general in basic medical and health institutions, the practice of medical and health institutions is the main talents.

They walked into the family, the door to door, provide services. Services include: to establish health records, such as high blood pressure, diabetes patients with chronic long-term follow-up, to the community key crowd like children, maternal, the elderly for care, and so on. At the same time, the general practitioner in the community health institutions provide outpatient service.

That is, except in the middle of the hospital, the doctor at home before the period of the day, be in hospital after the home of the two head rehabilitation, under the general practitioner is responsible for.

So, the general practitioner is your nearest doctor, is also the most know you health, is the health of the population "gatekeeper".

Because of this, the general practitioner help you control your daily disease, indirectly control your medical expenditures. But at the same time, the patient stay in the primary grass-roots, reduce the go to large hospital of the crowd to see a doctor, can reduce the doctor is difficult.

The health department is introduced, in our country, door to door service all-around doctor refers to a team, called "family responsibility group," the doctor usually by a all-around doctor, a nurse, a public health service a doctor or other types of workers.

They take the contract service way, to provide service, signed agreement on a per head charges. Of course, also can develop outpatient service, residents of other services needed to collect fees, according to the rules.

At present our country Shanghai and Beijing has been developing "family doctor service" pilot. Four, five years ago, Shanghai in community health service center push all-around doctor system. Not obtain the relevant professional qualification, not employed for community health service center doctor.

Different from a specialist

The general practitioner is different from common we call specialist, such as internal medicine and pediatrics, gynecology, etc.

Usually said general of specialized subject doctor in comprehensive or professional big hospital practice, mainly focus on specialized subject difficulty miscellaneous disease treatment and research, a bit like "medical scientists".

And the general practitioner in general basic medical and health care services to provide the agency, and provides the common people's practice is primary medical treatment, public health service, which help people value most common ailment, and make the service, is preventing people side "medical server".

The Chinese academy of medical sciences (Beijing union medical college) secretary of the party committee LiLiMing points out, both the training mode is not the same. Our country a specialist training mode of clinical medical undergraduate education, is through residency training, become a common a specialist.

The general practitioner system requirements for medical talents, a "5 + 3" training mode, namely 5 years of clinical medical undergraduate education, add 3 years of all-around doctor standardized training, and then through the examination for the qualifications, as the general practitioner can practice.

HuShan league points out, this needs a kind of special subjects, the cultivation and training mode than ordinary college process more complicated, rigorous. At present, our country only a few institutions of the discipline talent training, in the initial and exploratory stage.

The general practitioner is different from the village doctor, also not the past "barefoot doctor". He would learn professional knowledge more comprehensive, clinical skills to a more comprehensive, management of knowledge to be more rich, good at using a small amount of resources to cure disease.

The general practitioner and a specialist should collaboration. By the general practitioner in the ailment, a serious illness to solve by the general practitioner to big hospital solution of specialized subject doctor. Back to the community rehabilitation, the patient gp provide rehabilitation services.

Quantity seriously insufficient

In many countries and regions, residents are enjoying the all-around doctor medical service. According to statistics, at present, the general practitioner system has set up a file in DuoGe 50 countries and regions, the implementation of 30% of the total number of doctors-60%.

Along with the urbanization, and the ageing of the population in the rural areas of China, speeding up, the urban community need medical service population is growing very fast. At the same time, in the face of infectious disease and chronic non-communicable double pressure, with cardiovascular disease, hypertension, diabetes patients with chronic diseases, such as the number of people at risk and a surge in the general practitioner and the establishment of the system in our country has become an important and urgent task.

But the general practitioner development present situation and service ability, but with a rapid increase in demand and increasingly important position does not match.

According to the planning, the development of the general practitioner in China to realize "every residents have 2 to 3 qualified all-around doctor" goal. But reporters from the health ministry to realize, at present, China's community health institutions registered doctors in general only 0.73 people/ten thousand people, that is less than 100000 total, quantity seriously insufficient.

At the same time, the development of the general practitioner is also facing education and training system with poor, talent cultivation ability inadequacy, treatment is generally low, hard to retain talented people bottleneck. Restricted by the service ability, is difficult to formation and big hospital referral, sorting cooperation mechanism, and also difficult to play the role of shunt people to see a doctor. (LiGongMei)