【摘要】 目的　调查分析基层医院医生的全科医师必备知识、技能掌握情况 ,以探讨相应的对策。方法　用分层整群随机抽样的问卷法 ,对上海市 8区 2县 14家基层医院 40 9名临床医生进行全科医生必备知识、技能状况调查。结果　由于基层医院长期医疗服务分科过细 ,使临床医生医学知识与技能普遍太专和局限。分别有 30 %和5 2 %的被调查者认为自己缺乏全科医师必备的知识和技能。结论　提出改变服务模式和机制 ,加速全科化转型教育 ,进行教材与基地建设 ,加强师资队伍培养和建立全科医师制度等对策与措施更多还原

【Abstract】 Objective To investigate and analyse the condition of clinicians on the general practitioners , necessary knowledge and skills at community hospitals so as to find out the corresponding countermeasures.Methods The Survey was made with statistics random sampling among 409 clinicians from 14 community hospitals of 8 districts and 2 counties in Shanghai.Results It has been found that the medical knowledge and skills of the clinicians were too specialized and limited in general so that 30% and 50% of those surveyed thought that they lacked the general practitioners ,necessary knowledge and skills.Conclusion The author proposed some countermeasures such as reforming the service mood and system,speeding up the general-practice-orinted transformation education,improving the text-books and the practice basis,developing the faculty and erecting the system for general practitioners.更多还原