《医师法》背景下乡村全科执业助理医师制度困境与消解

The Predicament and Solution of the General Assistant Practitioners in Rural Areas under the Background of the Medical Practitioner Law

《执业医师法》及近期通过的《医师法》都未明确规定乡村全科执业助理医师资格考试的相关事项,导致实践中乡村全科执业助理医师群体在资格准入和执业中面临着诸多困境,不利于农村基层医疗卫生队伍的建设。本文梳理了乡村全科执业助理医师资格考试的政策演变,归纳了乡村全科执业助理医师在法律地位、执业权利、职业认同感三方面的现实困境,论证了乡村全科执业助理医师资格考试法制化的可行性,进而提出通过立法健全乡村全科执业助理医师制度的路径及具体内容。

Neither the Law on Practicing Doctors nor the recently passed Medical Practitioner Law has clearly stipulated the qualification examination for general assistant practitioners in rural areas,which has led to many difficulties faced by the general assistant practitioners in rural areas,impacting negatively on the construction of primary health care team in rural areas.This paper sorted out the policy evolution of the qualification examination of the general assistant practitioners in rural areas;summarizesd the existing problems faced by general assistant practitioners in rural areas in three aspects,namely legal identity,protection of practicing rights,and professional self-identity;demonstrated the feasibility of legalizing the qualification examination of general assistant practitioners in rural areas,and put forward the path and specific content of perfecting the general assistant practitioners in rural areas through legislation.