引用本文:王坚 陈芳源 须捷平 曹晖 钟鸣 邵莉.英国全科医师制度分析与启示[J].中华医学教育探索杂志,2014,13(2):109~112
英国全科医师制度分析与启示
Analysis of general practitioner system in the UK and its enlightenment
DOI:
中文关键词:  全科医师  培养体系  待遇  认同感  医疗联合体
英文关键词:General practitioner  Training system  Payment  Sense of identity  Medi-cal association
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作者单位
王坚 陈芳源 须捷平 曹晖 钟鸣 邵莉 Department of General Surgery Renji Hospital Shanghai Jiao Tong University School of Medicine 
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中文摘要:
      分析英国的全科医师在英国国家卫生服务系统中所发挥的作用,发现在英国有规范的全科医学教育体系,完善的全科医师培训制度,明确的全科医师工作职责和考核指标,紧密的初级和二级医疗联合体系,强有力的经济保障措施以及高度的职业认同感。提示我国在深化医疗改革进程中,要做好基本医疗服务,必须加快推进全科医师培养,提高社区全科医师的业务综合能力;建立全科医师首诊制度,促其做好健康守门人;提高全科医师待遇,增加其职业认同感;同时要加强信息化建设,建立健全社区首诊、双向转诊的通畅体制。
英文摘要:
      The role of general practitioners in the UK was analyzed and we found that in the UK, there was normalized general medical education system, perfect general practitioner training sys-tem, specific responsibilities and assessment index, close liaison group between primary and secondary care, strong economic supporting measures and high degree of recognition. Therefore, to deepen med-ical reform and improve basic medical service, we must accelerate general practitioners training, im-prove practice ability of general practitioners, establish the first-treatment system in community, reit-erate role of gatekeeper, enhance the payment of general practitioner and increase their sense of iden-tity. At the same time, we must strengthen the informatization construction, set up the first-treatment in the community and the patency of two-way referral system.
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