【摘要】 目的为制定有关建立全科医生制度提供在职全科医生现实意见的信息支持。方法由中华医学会全科医学分会提供自制调查问卷,对辽宁省沈阳市、建平县及浙江省舟山市目前在社区卫生服务中心或站工作的268名全科医生进行问卷调查。结果建平县全科医生认为培训对实际工作有很多帮助的占50.00%,沈阳和舟山的全科医生认为培训有一定帮助的占到50%以上。多数人希望的继续教育形式是讲课、到大医院进修和网络教育。三个地区的全科医生参加过岗位培训的比例都达到65%以上。大专以上学历者占75%以上。被调查者认为全科医生的准入条件目前应当是有医师执照加全科医生上岗证书,今后应获得全科医学专业本科毕业证书和取得全科医师规范化培训合格证书。建平地区的全科医生对目前岗位的不满意度为52.50%;沈阳的全科医生选择满意的比例较多,为45.16%;舟山的全科医生选择不满意的比例为48.67%;不满意的原因为工资低、患者少、职称得不到解决、业务得不到提高、工作条件差和人力不足。结论建立全科医生制度是一项重大改革和制度创新,有助于缓解看病难和看病贵的问题,建立全科医生制度势在必行。更多还原

【Abstract】 Objective To provide the general practitioners′ opinions as the evidence base for establishing the general practitioner(GP) system.Methods Altogether 268 GPs working at community health service(CHS) centers/stations in Shenyang City and Jianping County in Liaoning Province together with Zhoushan City in Zhejiang Province were surveyed through a questionnaire made and provided by Chinese Society of General Practice of Chinese Medical Association.Results 50.00% of GPs in Jianping county thought trainings were of great help to the practical work,while over 50.00% of GPs in Shenyang and Zhoushan thought trainings were of some help.The majority of GPs preferred lectures,advanced studies in large hospitals and web education to be the forms of further education.GPs who had participated in job trainings in all areas had exceeded 65%.GPs with college diploma or above accounted for more than 75%.Respondents believed that a medical license and a GP certificate should be the access conditions for a GP.In future,a college diploma with general practice major and a GP standardized training certificate will be needed as the access conditions.52.50% of GPs in Jianping and 48.67% of GPs in Zhoushan were not satisfied with their current jobs,45.16% of GPs in Shenyang were satisfied with their current jobs.Low pay,few patient visits,professional title issues,unimproved skills and abilities,poor working conditions and staff shortage were their main complaints.Conclusion To establish the GP system is a major reform and system innovation,and may alleviate the problem of "people′s lack of access to healthcare and unaffordable medical costs",therefore the GP system should be enforced.更多还原