The Initial Explorationg Of Training Model Of General Prantioners In Chongqing

The development of urban community health service is not only the focus of the work of urban sanitation in our country, but also the important components of reform of primary health care. General practitioners play an important "gatekeeper" roles in Community Health Service, but general practitioners provided by our country are insufficient number of poor quality, which restricted the work of community health services for the smooth conduct and has been a development bottleneck. On the basis of a comparative analysis of the model of training general practitioners at home and abroad through investigating literature, a stratified random sampling was used for investigating 150 general practitioners in nine districts and counties of Chongqing Municipality by standardized questionnaire, and three director of the Center for Community Health Service and six general practitioners were depth personal interviewed for the basic conditions ,the knowledge structure and the status of demand of general practitioners in Chongqing, as well as the major difficulties faced in the development of community health services that affected the development of general practitioners, then general practitioners transfer training was evaluated for upgrading the knowledge of general practitioner in Chongqing and exploring training means of general practitioners to promote the healthy development of community health services.Surveys and interviews showed that: (1)Junior college and below accounted for 77.23%; middle title and bellow accounted for 94.06%. (2) "Strong" requirement to enhance ability and knowledge accounted for 85.15%;"need so much"clinic medicine accounted for 78.22%(3)In the overall evaluation of the training ,"very good" and "good" accounted for 87.14%;in the evaluation of teachers, teaching methods, curricula, training venues, teaching materials, "very good" and "good" respectively accounted for 72.86%, 62.85%, 70.00%, 34.29%, 62.86%.(4)That general practitioners should be training principally based undergraduate and junior college respectively accounted for 51.49%, 41.54%;In the survey of the need for qualifications, undergraduate and junior college that is "very essential" and "more essential" both accounted for 82.18%.(5)The level of education is 65%; of mastering is 18%; of the actual need is 52%;Education/need is 126%, mastering/need is 34%, mastering/education is 27%.(6)The phenomenon of "crying up wine selling vinegar" is serious and community health services is incomplete; The financial input is quite shortage; Policy formulation and implementation are not ideal; Embarrassing as general practitioners, job-hopping is common; The first consultation and referral system have not been implemented effectively; The quality of general practitioners is not equal and low wholly; Approved training level of general practitioners concentrated on the undergraduate and junior college level.Conclusions and recommendations(:1)The community health service in Chongqing is still in its initial stage; The government should increase investment for rapid , healthy and smooth development of community health service.(2)The phenomenon of low levels of education and title is serious; Clinical disciplines are main needed and valued in all curricula; Reorientation training on the whole staff have been affirmed totally, but the details need to be improved; Short-term training transfer should be expanded; A long-term perspective, the medical institutions should be set up a general practitioners specialty for undergraduate and junior college student.(3)The level of education, of actual mastering and of practical needs of knowledge of general practitioners are all low; At the same time there is a waste trend of educational resources that need be integrated and improved; The awareness of Biopsychosocial model should be strengthened.