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还有5年,中国全科医生人数能翻倍吗?

2015-09-08 MedSci MedSci原创

全科医生是相对于专科医生而言的,全科医生对医学知识的综合性的要求更强,全科医生的主要工作是在基层承担预防保健、常见多发病诊疗以及转诊、病人康复和慢性病管理等。日前,中华医学会会长陈竺曾表示:“我们的目标是到2020年每万名城乡居民配备2到3名全科医生,最好达到每万名城乡居民有5名全科医生,一个全科医生能够管2000个居民。”按照陈竺会长设定的目标,国家卫计委基层卫生司副司长诸宏明计算出,到2020

全科医生是相对于专科医生而言的,全科医生对医学知识的综合性的要求更强,全科医生的主要工作是在基层承担预防保健、常见多发病诊疗以及转诊、病人康复和慢性病管理等。

日前,中华医学会会长陈竺曾表示:“我们的目标是到2020年每万名城乡居民配备2到3名全科医生,最好达到每万名城乡居民有5名全科医生,一个全科医生能够管2000个居民。”

按照陈竺会长设定的目标,国家卫计委基层卫生司副司长诸宏明计算出,到2020年,中国全科医生的数量应达到35万人;再参考国家卫计委卫生发展研究中心的数据——中国目前全科医生数量约为17万人。这意味着,我国全科医生缺口达到18万,未来五年内我国必须每年增长3.6万全科医生。

但是,我们再来看以下这些数字:青岛计划招聘基层全科医生240人,仅有90人报名;南京首届全科医生培训计划招收110人,结果只招了49人。复旦大学附属中山医院每年招收规培生20人,仅有15-18人报名。这个现实是不是有些过于骨感?

考虑到我国目前的国情:全科医生薪酬待遇低、诊疗结果不被患者信任、培养体系不完善等等,全科医生的培养现状堪忧,希望有关部门能够切实、有效地行动起来!

在9月4日至5日的2015年全科医学大会暨中华医学会全科医学分会第十三届年会上,钟南山、郎景和、胡盛寿、王正国、王辰、付小兵、李兰娟、邱贵兴、陈香美、赵玉沛、赵继宗、程京、赫捷十三名院士就已经倡议发展全科医学、培训全科医师,支持分级诊疗。国家卫计委也表示:到2020年,中国要力争实现每个家庭拥有一名合格的家庭医生,每个居民拥有一份动态管理的电子健康档案和一张服务功能完善的健康卡。但是,网友们对这一倡议却普遍不看好:

@晓春盛花香:培养了一堆高素质全科,然后基层没有彩超,没有ct,给的结论是:你们的火眼金睛没学到位,这都看不出来!

@会做梦的小鱼儿:然而并没有什么卵用,该是啥样还是啥样

@医生爱旅行:这个可能吗?不投入资金,改革不涉深水区

@已不是流星:中国的全科医生就是基层医生,乡村医生的代名词,工资待遇低,职业条件差,学历低,普遍不受信任,这都是目前全科医生的处境。

@荣耀归于曼联:中国不是美国,中国人也不是美国人,共产党也不是资本主义,你也不是国家卫计委主任·······全科是坑

@宇纲家的小太阳:现在对这个行业特别失望,肺炎了不能请假因为科室缺人,上班的时候被病人感染,医疗费还不是自己给,工资全用来看病了,不知道上班的意义在哪里[泪]

@建宁县梁建平诊所:不是医生少,就医观念和医保不对称

@夜的边边边:先把全科定向生的工作落实了再谈其他吧[打哈气]

@missyouandwaitforyou:如果把全科医生的待遇和美国一样估计什么问题就都解决了

人员充足、水平合格的全科医生是分级诊疗的保障。正如世界卫生组织总干事陈冯富珍所言,基层医疗是中国正在建设的分级诊疗模式的基础,而成功的关键是要有训练有素、干劲十足的全科医生团队。且行且珍惜!

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    2016-03-01 sylvia828

    不能

    0

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    2015-12-27 忠诚向上

    好学习

    0

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    2015-09-09 萧峰

    中国足球还说要进世界杯十六强呢!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=66615, encodeId=688a6661543, content=不能, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150722/IMG55AFA86523D972628.jpg, createdBy=0e301631601, createdName=sylvia828, createdTime=Tue Mar 01 17:27:00 CST 2016, time=2016-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=49639, encodeId=1f2349639d0, content=好学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Sun Dec 27 20:45:00 CST 2015, time=2015-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36584, encodeId=59ab365845c, content=中国足球还说要进世界杯十六强呢!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7f271648309, createdName=萧峰, createdTime=Wed Sep 09 14:44:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36547, encodeId=ff1c3654ebf, content=有难度, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3ykRSkuxjt93yc9tvDWfIQItrwiaKSCps5kyrTyDlwic2FgoCWe88wR3ZiaggKYGueDIp26zVgnbzriaQ/0, createdBy=89d71602869, createdName=sundong, createdTime=Wed Sep 09 12:24:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36529, encodeId=ecce3652904, content=不太可能, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Wed Sep 09 10:26:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36530, encodeId=64e6365308b, content=努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Wed Sep 09 10:26:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36526, encodeId=d56636526e4, content=期待, beContent=null, objectType=article, channel=null, level=null, likeNumber=177, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=efb81634658, createdName=1dd8fecdm45(暂无匿称), createdTime=Wed Sep 09 08:43:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36501, encodeId=6c68365019d, content=希望, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJUNfdk68bHutYruGyxbKDzPWH3agcmId19Yf94FiapyicN0LTg0jykhqIhjPQVdR08FGR399rBpZIg/132, createdBy=feae1624323, createdName=Dr.LV, createdTime=Tue Sep 08 22:51:00 CST 2015, time=2015-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36480, encodeId=6ad2364804b, content=哎, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJq24S8KnicnAUEiaRzaqs5dFnXy36sdRT01oLMib3Ojktwan5aAACTkpYXGpUQPibPIjqYWmP8QriaQAw/132, createdBy=81c71616628, createdName=Chaddock, createdTime=Tue Sep 08 21:04:00 CST 2015, time=2015-09-08, status=1, ipAttribution=)]
    2015-09-09 sundong

    有难度

    0

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    2015-09-09 yydlt

    不太可能

    0

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    2015-09-09 yydlt

    努力吧!

    0

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    2015-09-09 1dd8fecdm45(暂无匿称)

    期待

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=66615, encodeId=688a6661543, content=不能, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150722/IMG55AFA86523D972628.jpg, createdBy=0e301631601, createdName=sylvia828, createdTime=Tue Mar 01 17:27:00 CST 2016, time=2016-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=49639, encodeId=1f2349639d0, content=好学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Sun Dec 27 20:45:00 CST 2015, time=2015-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36584, encodeId=59ab365845c, content=中国足球还说要进世界杯十六强呢!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7f271648309, createdName=萧峰, createdTime=Wed Sep 09 14:44:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36547, encodeId=ff1c3654ebf, content=有难度, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3ykRSkuxjt93yc9tvDWfIQItrwiaKSCps5kyrTyDlwic2FgoCWe88wR3ZiaggKYGueDIp26zVgnbzriaQ/0, createdBy=89d71602869, createdName=sundong, createdTime=Wed Sep 09 12:24:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36529, encodeId=ecce3652904, content=不太可能, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Wed Sep 09 10:26:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36530, encodeId=64e6365308b, content=努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Wed Sep 09 10:26:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36526, encodeId=d56636526e4, content=期待, beContent=null, objectType=article, channel=null, level=null, likeNumber=177, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=efb81634658, createdName=1dd8fecdm45(暂无匿称), createdTime=Wed Sep 09 08:43:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36501, encodeId=6c68365019d, content=希望, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJUNfdk68bHutYruGyxbKDzPWH3agcmId19Yf94FiapyicN0LTg0jykhqIhjPQVdR08FGR399rBpZIg/132, createdBy=feae1624323, createdName=Dr.LV, createdTime=Tue Sep 08 22:51:00 CST 2015, time=2015-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36480, encodeId=6ad2364804b, content=哎, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJq24S8KnicnAUEiaRzaqs5dFnXy36sdRT01oLMib3Ojktwan5aAACTkpYXGpUQPibPIjqYWmP8QriaQAw/132, createdBy=81c71616628, createdName=Chaddock, createdTime=Tue Sep 08 21:04:00 CST 2015, time=2015-09-08, status=1, ipAttribution=)]
    2015-09-08 Dr.LV

    希望

    0

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    2015-09-08 Chaddock

    0

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