我国医联体医务人员诊疗能力现况研究

Study of the current diagnosis and treatment situation of medical staffs in health alliance of China

本文主要从全科医师的医学基础、专业素养、医学实践、医患沟通、服务社区、诊断思维模式、诊通晓伦理及法律等方面探讨我国医联体全科医师的诊疗现状。通过查询和复习国内外相关文献,总结对比国内外全科医师发展现状,发现医联体全科医生在分流患者、减轻大医院就诊压力方面起着重要作用。但由于我国目前全科医师资质层次参差不齐、缺乏临床理论或经验、薪资待遇低廉,造成了医联体社区中心普遍存在全科医生数量不足和能力不强的现象。本综述以期为全科医师培养方式和模式提供参考,为解决普遍存在的"看病难、看病贵"的社会热点问题找到突破口,有助于减少因就医压力而引发的一系列不良事件,对我国良好的就医格局的建立起到指导和推动作用。

This paper discusses the current diagnosis and treatment status of general practitioners in health alliance of China from aspects as follow： medical foundation, professional quality, medical practice, doctor-patient communication,community service, diagnosis thinking mode, ethical and legal. Moreover, by summarizing and comparing domestic and foreign development situation of general practitioners and searching published literatures at home and abroad, general practitioners play an increasingly important role in patients distribution and reducing the stress of the major hospitals.The current of irregularity of qualification, lack of clinical experience and low wages of general practitioners, lead to the lack and limited capacity of general practitioners in health alliance community center. This study provides a direction for physician training, and seeks out breakthrough for the social hot issues of difficulties and high expense in medical care. Simultaneously, it can reduce a series of incidents caused by the pressure of medical treatment, promote the establishment of a good pattern of medical treatment in China.