培养“下得去、留得住、用得好”的农村卫生人才一直备受关注且面临挑战。本文分析了当前农村全科医生培养和使用中存在的问题,从制度保障和人才培养方面提出了相应的建议,希望通过改革使培养出来的全科医学人才能够为保障和提高农村人口健康水平发挥应有的作用。
It has been exploring and still a challenge to cultivate rural health personnel as going down staying down and using well. In this paper, the main problems among cultivation and use of rural health personnel were analyzed. It suggested that the institutional guarantee and cultivation model should be reformed to make the health personnel going down staying down and using well, thus ensure and improve the health level of rural people.
[1] 廖新波.乡村医生应向“全科医生”转变[N].新华每日电讯,2015-03-26(3).
[2] 李晓燕,孔辉,张光鹏.我国乡镇卫生院人员流出特征及原因分析[J].中国初级卫生保健,2013,27(9):43-45.
Li XY, Kong H, Zhang GP. Human resource flowing characteristics and causes analysis in township health centers in China[J].Chinese Primary Health Care, 2013,27(9):43-45.
[3] 魏士轩,尹爱田,马东平,等.全科医生制度建设的人才问题及成因研究[J].中国卫生资源,2014,17(3):227-228.
Wei SX,Yin AT,Ma DP,et al. Study on human resource problems of the construction of general practitioner system[J].Chinese Health Resources,2014,17(3):227-228.
[4] 王小莉.全科医生靠培养不如靠留人[J].中国社区医师,2008,24(7):7-7.
[5] 刘聚源.2010年中国乡村医生现状调查[D].北京:北京协和医学院/中国医学科学院,2011.
Liu JY. The study of rural doctors' current status in China,2010[D].Beijing: Chinese Academy of Medical Sciences/Peking Union Medical College,2011.
[6] 徐静,钱东福.国外全科医生的薪酬支付方式探讨[J].中国卫生人才,2015(1):28-30.
[7] 张小娟,朱坤.部分发达国家全科医生薪酬支付方式介绍[J].中国全科医学,2014,17(17):1931-1933,1936.DOI:10.3969/j.issn.1007-9572.2014.17.001.
Zhang XJ,Zhu K. Review of remuneration of general practitioners in some developed countries[J].Chinese General Practice,2014,17(17):1931-1933,1936.DOI: 10.3969/j.issn.1007-9572.2014.17.001.
[8] 侯建林,柯杨,王维民.我国全科医生制度面临的困难和发展建议[J].医学与哲学(人文社会医学版),2011,32(12):8-10,14.
Hou JL, Ke Y, Wang WM. Challenges and suggestions of general practitioner system in China [J].Medicine & Philosophy(Humanistic & Social Medicine Edition), 2011,32(12):8-10,14.
[9] 线福华,路孝琴,吕兆丰.全科医生培养模式及其实施中相关问题的思考[J].中国全科医学,2012,15(8A):2498-2501.
Xian FH, Lu XQ,Lyu ZF. Chinese general practitioner training scheme: challenges and strategies[J].Chinese General Practice,2012,15(8A):2498-2501.