Deepen the reform of the medical and health system: The advantages of TCM general practice in primary medical services and suggestions on the construction of talent team
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摘要: 全科医生队伍是我国基层医疗服务体系建设的核心与基石，是基本医疗和公共卫生服务的中坚力量，加强全科医生队伍建设是提升基层医疗服务水平，进而推进落实分级诊疗政策的关键。中医药是我国传统文化的瑰宝, 其诊疗理念与全科医学有诸多相通之处，发展中医全科医学，加强中医全科医学人才队伍建设，对于丰富全科医生以及家庭医生签约服务形式、降低医疗费用、提升基层医疗服务效率以及推进分级诊疗制度落实具有重要意义。本文概述了加强中医全科医生队伍建设的必要性与可行性，分析了中医全科医学在基层医疗服务中的优势及中医全科医生队伍建设存在的问题与障碍，然后分别从中医全科医学人才培养系统的内部和外部2个角度提出对策建议。建议在系统内部通过加强中医全科医学的学科建设与师资队伍建设，完善中医类别全科医师规范化培养体系和继续教育体系的方式健全中医全科医学人才培养体系；在系统外部通过完善保障政策、加强信息化建设、构建激励机制以及加强宣传教育等方面，给中医全科医学人才队伍建设提供良好的支撑环境，提升中医全科医生的岗位吸引力，推动构建中西医结合的中国特色全科医生队伍，为提升基层医疗服务能力、缓和医患供需矛盾、构建高效的医疗服务体系提供建议。Abstract: The team of general practitioners is the core and cornerstone of China's primary medical service system and the backbone of basic medical and public health services. Strengthening the construction of the general practitioner team is the key to improving the level of primary medical services and promoting the implementation of the hierarchical diagnosis and treatment policy. Traditional Chinese medicine (TCM) is a gem of Chinese traditional culture, and its diagnosis and treatment philosophy has many similarities with general medicine. The development of TCM general medicine and the strengthening the construction of the TCM general medicine talent team are of great significance to the enrichment of the service forms of general practitioners and family doctors, reduction of medical expenses, improvement of the efficiency of primary medical services and promotion of the hierarchical medical system's implementation. This paper outlines the necessity and feasibility of strengthening the construction of the TCM general practitioner team. The advantages of TCM general practice in primary medical services and the problems in the construction of the TCM general practitioner team are analysed. Suggestions from the internal and external perspectives of the TCM general practice talent training system are put forward. Inside the system, improving the TCM general practice talent training system by strengthening the discipline construction and faculty construction of TCM general practitioners and improving the standardized training system for general practitioners of traditional Chinese medicine and continuing education system are recommended. Outside the system, improving supporting policies, strengthening informatization construction, building incentive mechanisms and strengthening publicity and education can provide a good environment for the construction of TCM general practitioners, as well as enhance the attractiveness of TCM general practitioners and promote the construction of a team of general practitioners with Chinese characteristics that integrate Chinese and Western medicine. Suggestions are provided for improving primary medical service capabilities, alleviating the contradiction between doctor and patient supply and demand, and constructing an efficient medical service system.
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