国内外全科医生培养的比较研究

全科医生是为个体、家庭和社区提供基本的、连续的、综合的医疗卫生保健服务的医生[1]。全科医生作为高质量初级卫生保健的提供者,被认为是居民健康的最佳守门人[2]。目前全科医生制度已在50多个国家和地区实施,全科医生占医生总数的30%～60%,例如英国、美国、澳大利亚、加拿大、古巴等国,都已开展了家庭医生服务模式[3,4]。通过各国全科医生培     

模拟教学在全科医生转岗实践技能培训中的应用

为加强基层医疗卫生服务体系和全科医生队伍建设,我国目前主要采用全科医生转岗培训的培养方式,其中临床实践技能考核是培训的核心部分.结合参加转岗培训的医生学历、专业技术水平、知识结构与年龄等参差不齐,培训时间短、需掌握内容多与工学矛盾等特点,作者采取了模拟教学法(S T)来进行全科医生的转岗培训.相对于传统的授课模式,该方...     

全科医生社区实践基地建设的探讨

根据我国目前的社会经济、卫生事业、医学教育事业的实际情况,发展社区卫生服务所需的全科医生,不可能完全由本科医学生毕业后经全科医学教育而来,更多的是基层医院的专科医生经培训转型成为全科医生,因此,全科医生的培训工作任重而道远。从2000年开始浙江省全面开展全科医师培训工程,包括全科住院医师规范化培训、全科医生转岗培训、全科骨干医师培训”。根据《浙江省住院医师规范化培训基地认定办法（试行）》和《浙江省住院医师规范化培训基地管理办法（试行）》的通知精神,培训基地分为临床培训基地和社区实践基地,社区实践基地不设培训学科,与临床培训基地的全科医学学科共同承担住院医师规范化培训的社区实践任务。     

全科医生对临终关怀的知行信调查

目的了解全科医生对临终关怀的认知、态度及行为,并分析其影响因素,为全科医生的培训和行政部门制定家庭临终关怀策略提供参考依据。方法采用方便取样的方法对福建省全科医生规范化培训班74位成员进行关于临终关怀知行信的问卷调查。结果 50%的全科医生只是听说但不了解临终关怀,全科医生对临终关怀的态度及行为得分偏低。结论全科医生对临终关怀的认知不足,临终关怀的实行对于全科医生还存在一定的难度,建议加强临终关怀的教育,以指导全科医生更好地进行临终关怀。     

农村全科医生抗菌药物应用中存在的几个问题

<正>为了解农村全科医生应用抗菌药物的情况,我们于2010年9月～11月对567位在商丘医学高等专科学校培训的农村全科医生进行调查,发现抗菌药物应用过程中存在着不少问题,现将结果报道如下。1抗菌药物应用指征掌握不严1.1滥用抗菌药物如内科的脑血管疾病,儿科的病毒性感染等,这些抗菌药物治疗根本无效的疾病,均使用了抗菌药物。以致造成大量药品浪费,同时     

民营口腔医院绩效管控的实践

民营口腔医院建立合理、有效、完整的绩效管控体系是市场经济下医院管理的核心和关键。多维度的绩效管控可以拓宽人力资源管理,促进民营口腔医院全方位的发展,进一步促进口腔医院实现科学化的绩效管理道路,促进民营口腔医院人力资源管理的良性可持续发展。     

加强基层部队卫生技术干部全科医生培训的探讨

本文阐述了加强基层部队卫生技术干部全科医生培训的必要性,提出了具体措施办法：确立培训目标,创新培训模式,合理设置课程,遴选适宜师资,强化管理考核。     

专科培训对沙井街道全科医生脑卒中防治管理能力的影响分析

目的：考察专科培训对沙井街道全科医生对脑卒中管理能力水平的影响。方法随机选取沙井街道全科医生50人给予专科培训作为研究组,并选取未接受专科培训的全科医生作为对照组,通过自行设计的调查问卷对两组医生的脑卒中防治管理能力进行评定。结果共发放调查问卷100份,回收有效答卷95份,回收率为95.0%。研究组答卷总分显著高于对照组（P<0.01）,研究组脑卒中的识别和处理得分显著高于对照组（P<0.01）,研究组脑卒中二级预防得分显著高于对照组（P<0.01）。结论实施专科培训可以有效提高全科医生的脑卒中识别和处理能力以及脑卒中二级预防能力,有效改善社区全科医生的脑卒中防治管理能力。     

澳大利亚全科医学教育对上海全科医生培养的启示

全科医生是家庭医生制服务的主力军,但目前社区卫生服务中心普遍存在全科医生数量不足和能力不强的问题。本文通过介绍澳大利亚全科医生的培养、职业培训和持续职业发展项目,结合上海市全科医生的现状,对全科医生的继续教育和业务培训提出建议。     

社区全科医生遵循高血压防治指南治疗高血压病的体会

目的研究探讨社区全科医生遵循《高血压防治指南》治疗高血压病的治疗效果。方法将156例高血压病患者随机分为治疗组和对照组,每组78例,治疗组给予社区全科医生的综合治疗,对照组给予单纯的临床药物治疗,将两组的治疗效果进行对比分析。结果治疗组的总有效率明显优于对照组,差异有统计学意义(P<0.05)。结论社区综合治疗高血压病具有显著地效果,值得广泛推广。     

Attitudes and practices of general practitioners training to work with drug-using patients

This study assessed the current attitudes, knowledge and practices of 26 inner metropolitan GPs training to work with drug-users. In comparison to nicotine, alcohol and benzodiazepine, illicit drugs (such as opiates and amphetamines) were associated with significantly lower GP confidence, self-reported effectiveness and general knowledge. GPs were also less likely to ask their patients about illicit drug-use than other types of drugs. Older GPs were more confident, believed themselves to be more effective but had less general knowledge about all drug types than GPs under 40. Female doctors also reported lower levels of confidence. Self-reported effectiveness and confidence did not show any association with accuracy of general knowledge about drugs. Although most GPs were very positive about their role in working with drug-users, GPs tended to associate wanting to work with drug-users with professional responsibility, rather than personal interest. These findings suggest that training programmes for GPs in the area of drug-use need to be tailored to account for differing knowledge bases, but also tackle the more difficult task of addressing attitudes and self-perceptions of the role GPs play in dealing with drug-use.     

Attitudes of New Zealand general practitioners to alcohol-related problems

The attitudes of a self-selected group of general practitioners indicated majority support for a traditional disease conception of alcoholism embodying abstinence as the goal of treatment. Separate attitudinal factors which emerged represented a modified disease conception, a moralistic attitude and a belief in a drinking-problem continuum. The general practitioners' attitude structure was significantly related with their practice and belief in the efficacy of giving advice to patients with alcohol-related problems.     

Access by general practitioners to physiotherapy department of a district general hospital.

There has been much opposition, voiced most notably in the Tunbridge Report, to general-practitioner access to hospital rehabilitation services. Co-operation between general practitioners, physiotherapists, and the consultant with responsibility for the physiotherapy department at a general district hospital has provided an efficient open-access service. This service has been welcomed by the general practitioners because it supplies prompt treatment for their patients and by the physiotherapists because it enables them to minimise disability by treating musculoskeletal problems at an early stage.