家庭医生签约服务需求下社区全科医生转岗培训的问题与对策研究

Challenges and Solutions for Training about Contractual Services for On-site Primary Physicians before Transferring to the Position of Family Doctors

全科医生是家庭医生签约服务队伍的主体和核心力量,随着家庭医生签约服务在我国各地区持续推进,合格的全科医生数量已不能满足居民日益增长的对家庭医生签约服务的需求。采取多种措施加强全科医生培养,大力开展基层在岗医生转岗培训,是尽快解决全科医生不足、有效推进家庭医生签约服务的重要方法。本研究通过查阅国内外与全科医生转岗培训相关的最新文献,介绍了我国家庭医生签约服务需求下社区全科医生转岗培训的现状,分析目前全科医生转岗培训存在的问题,并提出相应对策。本研究提出应提高全科医生的社会地位和服务水平,规范全科医生培训基地建设,强化社区全科医生师资队伍建设,提升社区全科医生运用电子医疗信息的能力,以期提高全科医生转岗培训效果,进一步推进家庭医生签约服务工作。

Family doctors play an primary and core role in delivering contractual services.However,in view of the delivery status of the contractual services across regions in China,there is an insufficient number of qualified family doctors for delivering such services for satisfying the ever-increasing healthcare needs of residents.Therefore,taking a variety of measures to strengthen the training of family doctors,and vigorously carrying out on-site training about contractual services for primary physicians before transferring to the position of family doctors are important ways to solve the problem.Based on the review of domestic and international latest related articles,we reported the current status of training about contractual services for primary physicians before transferring to the position of community-based family doctors,analyzed the existed challenges and proposed targeted countermeasures,such as improving the social position and service quality level of family doctors,standardizing the construction of family doctors'training base,strengthening the building of family doctor teacher team,and advancing the level of community-based family doctors in using electronic health information,with a view to increasing the post-transfer training effect,which in turn promoting the delivery of contractual services.