国内外全科医学教育现况与展望

近年来, 全科医师在社区卫生服 务中扮演越 来越重要 的角 色, 而全科医师素质 的提 升离不 开全 科医学 教育, 为 此本 文进
作者单位: 200122 上海市浦东新区潍坊社区 卫生服务 中心 (杜 兆辉, 储 霄英, 毛秀珍 ); 200025 上海市, 上海 交通大学 公共卫生 学院 (彭慧珍 )
通讯作者: 储霄英, 电子信箱: dzh820@ 126. com
行了专项研究。
1 全科医学产生背景 随着社会稳定和生活水平 提高, 人 群疾病发 病率和死 亡率
大幅下降, 人口迅 速上 升 [ 1- 2]。 人口 老龄 化加 重、疾病 谱和 死 亡谱的改变、卫生经济的压力、医 学模式的转 变、家 庭结构 的改 变、医患关系的恶化以及专科医疗服务的局限性, 以致在 20世
观察 [ J]. 实用全科医学, 2007, 5( 7 ): 616. [ 11 ] 李宁, 李启明, 杨明, 等. 高压氧结合化疗治疗中晚期 非小细胞肺
癌 160例临床疗效观察 [ J]. 重庆医学, 2005, 34( 6): 8822883. [ 12 ] 胡兴龙, 袁孝兵, 孙祥, 等. 高压氧联合化疗治疗转移 性胃癌的临
(收稿日期: 2010202201)
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中华全科医学 2010 年 7 月第 8 卷 第 7 期 Ch inese Jou rnal of General Pract ice, Ju ly 2010, Vol1 8, N o1 7
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A ctua lity and P rospect of G en er a l M ed ica l E duca tion a t H om e a nd Abr oad DU Zhao2hu i, CH U X iao2ying, MAO Xiu2 zhen, et a l. Weifang Comm unity H ea lth Center, P udong N ew D eveloped Area, Shangha i 200122, China = Abstr ac t> W ith the developm ent of the popu la tion aging and the shifting of m ed ica l parad igm from a sim ple/ biologica lm od2 e l0 to/ biologica l2psycholog ica l2soc ia lmed ic ine0, aswe ll as the deep ly expans ion of community hea lth se rvices, the importance of gene ra lm ed icine and genera lm ed ica l educa tion becam e m ore and m ore evident. This paper describes the development h istory of gene ra lm edical and general m ed ica l education a t home and ab road, and compares the character istics of var ious educa tiona lm od2 e ls. The countries, such as the Un ited States, Un ited K ingdom, Austra lia, F rance and other coun tries were involved, the dom estic c ities, such as Be ijing, Shangha,i Shenzhen, and H ongKong, Taiwan and other reg ions were enrolled in. By com pa ring and ana ly2 zing the characte ristics of different models, we provided the basis of literature for the re lated polic ies. The current genera l educa2 tion work in China has began to take shape. F rom the national2leve l gene ra l education and tra in ing center to the general education2 a l institutions around, we have carr ied out active explora tions. =K ey word s> Genera lm edica l educa tion; Genera l tra ining