| 赴英国皇家全科医师学会全科医学培训的启示 |
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| 引用本文： | 雷李美,蓝翔.赴英国皇家全科医师学会全科医学培训的启示[J].中华全科医学,2016,14(4):676-679. |
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| 作者姓名： | 雷李美 蓝翔 |
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| 作者单位： | 温州医科大学附属第六临床医院, 丽水市人民医院全科医学科, 浙江 丽水 323000 |
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| 摘 要： | 随着社会不断的发展,民众对医疗保健的要求越来越高，全科医师也越来越受到人们的欢迎。英国是众多较早开展全科医师医疗体系的国家之一。经过多年的发展探索，英国已拥有较为完善的国民健康服务体系；灵活、独立、高效运行的全科医疗诊所；严谨的全科社区就诊制度；协同良好的社区与全科门诊的整合式服务；严密、完善的医疗质量监管体系；严格、高标准、同质化的全科医生培养体系等等。英国的医疗卫生保障制度的服务宗旨和英国国民健康服务体系(NHS)的六大价值观与我国的新一轮医疗体制改革的核心要求是相似的。对目前我国正在进行的基层卫生工作综合如分级诊疗、基层首诊，医养结合，开展全科签约服务具有很好的学习借鉴作用。经过2周的培训，通过对英国全科医师培养模式的研究，结合我国实际情况，笔者发现要加强我国全科医学体系建设，夯实基层医疗卫生服务基础；建立完善的全科医生“守门人”制度，做好分级诊疗和双向转诊；加强以全科医生为核心的服务团队建设，推动医学模式在社区的转变；要进一步加强全科规培基地骨干师资队伍建设；以社区卫生服务为核心，在社区层面横向整合多方社会服务资源；加大宣传，正确引导居民的就医需求；探讨适合我国的全科医师培养模式，从而推动我国全科医学的发展。
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| 关 键 词： | 英国 全科医师 人才培养 启示 |
| 收稿时间： | 2015-04-03 |
The enlightenment of general practice training in Royal College of general practitioners |
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| Authors: | LEI Li-mei;LAN Xiang |
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| Affiliation: | Departmentof General Practice, Lishui People's Hospital, Lishui, Zhejiang 323000, China |
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| Abstract: | With the development of society,the demand of people for medical care has been increasing,and the general practitioner(GP) is becoming more and more popular.The Britain is one of the earliest countries that have the general practice care system.After years developed,Britain has a complete National Health Service system;flexible,independent and efficient general medical clinic;strict general practice clinic system;excellent cooperative integrated services between community and general practice clinic;rigidmedical quality monitoring system and strict,high standards and homogenization GP training system.The service purposes of Britain health insurance system and the core NHS values are similar to health care reformrequirements in China.It is good experiences for currently basic health work in China such as classification treatments,basic initial diagnosis,medical support combined and general practice contract services.After two weeks training,based on the British general practitioner training model and Chinese actual situation,wesuggest that it is necessary to improve general practice care system,develop basic health service system,establish general practitioner “gatekeeper” system,promote classification treatment and two-way referral,advance the general practitioner team servicebuilding and medical modeltransform in community,further train teachers in general practicestandardized training center,integrate social services resources for community health services,increase propaganda and correctly guide people’s medical needs and explore a suitablegeneral practitioners training model for China,and promote the development of general practice. |
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