| With rapid population growth, aging of the population, changing of the family structure and function and changing in the spectrum of disease and death , The medical pattern changed from the bio-medical model to the "biological - psychological - society" medical model. For the change pattern of medicine and the implementation of health care strategy, people demand more and more better health services. Application of High-tech detection and therapeutic tools leads to increasing medical costs, but less to improving the overall health status of human beings, the costs and profits are serious imbalance. Although the medical specialties are continuing to divide, and many breakthroughs have been achieved in some severe diseases, the indifferent relationship between doctors and patients has become a more and more popular issue. In responding to these global challenges, the general practice and general practitioners showed distinct advantage. In China, the concept of health in people's mind has been updated, and people's demands of health services increased too. As a new subject, the general practice has been paid more and more attention, and developed rapidly. It gradually became an important part of health system reforming, community health services and development of medical education.The overall aim of Chinese general medical education is to establish a general medical education system, which is Chinese characterized, can meet the development and reforming of public health, and train a large number of GPs to meet the people's demand of basic health care needs. By the end of 2002, the community health services had been launched in 358 cities, accounting for 54% of the total number of cities, established 2,406 community health service centers, 9,726 community health service stations. 15 provinces and cities developed the province's general medical education development planning and implementation suggestions. 1037 persons had been trained for GP position per province. General practitioner training is gradually moving toward standardization and systematization. At present, 20 provinces and cities nationwide have carried out training general practitioners or transition training. Beijing, Zhejiang, Shanghai, Tianjin, and other provinces and municipalities also launched a standardization work after graduating from pilot training, training general practitioners work is carried out in full swing.Lasting, in-depth and healthy development of primary health services is the fundamental guarantee. to promoting economic development and establishing a harmonious social security system for the past several years, through the efforts of various departments, Jilin community health service network has initially shaped, community health service infrastructure conditions are improving gradually, under the sparing of the activities of the National Health Service demonstration area and provincial demonstration agencies, formed an regional characteristic and diverse community health service model. The survey also revealed that nearly 10 years, the annual prevalence of Jilin Province residents tended to increasing, and the flow of patients concentrated in the higher-level hospitals, the shortage of talents in primary health services and the lower quality are the main causes of this situation. To improve residents medical care, the establishment of community health service centers and a system of general practitioners in our province has become an important measure. Full medical training of personnel is the key to building of the primary health professional practitioners contingent, establishing and improving the general medical personnel training system is the urgent need of the people for public health in our province to safeguard health.This paper firstly analyzed the general practice basic concepts and theoretical connotation, introduced a foreign overview of general medical education, expounded development process of Chinese general medical education and the status quo of the medical personnel training work.Then conducted Jilin general medical personnel training in-depth analysis of the status quo, pointing out the main problems that the current exist in this work. (1) Lack of personnel in community health service teams, low quality employees; (2) Urban communities general practitioners, community job training for nurses carry out in imbalance and not standardized; (3)In rural health institutions, general medical personnel training late start and still in the early stage; (4) Team of training units is insufficient in number of teachers, quality is not high; (5) The funding shortage, the construction and management of clinical and community-based practice is not enough; (6) Government control is not enough, training has become a mere formality, and lacking of systematic and targeted characters, quality monitoring system hasn't formed; (7) General education is almost blank in students of medicine and postgraduates of medicine; (8) Personnel training teaching process in general medicine school is plagued with problems.Finally, concern about the problems at this stage in our province, based on the practical experiences, learn successful practices from other countries and regions and think of characteristics and the actual needs of our region, from the organization and management, system development, personnel policies and concrete measures, four aspects, propose the general medical personnel training policy proposals of Jilin province.Organizing around the guiding ideology and objective tasks of general medical personnel training defined the responsibilities and duties partition at different levels of management institutions; Stressed the need to improve the general medical personnel qualifications system and Title evaluation policy in rule's construction, the health professional and technical personnel to the primary health institutions. Reform personnel system in community health service institutions, including the strengthening of positions set up and management, standardizing resignation and firing system, encouraging by income distribution; specific measures proposed first is to establish a sound general medical training network, and then advance medical disciplines, as well as general base of teachers, material building. Including conducting general medical education in medical colleges, community health service staff positions training, post graduation general medical education and various forms of continuing education of general medical education, launch this education. In addition, suggested that multi-channel training of rural doctors to speed up their transition to general practitioners. Personnel policy that we should actively attract outstanding community health service personnel, encourage graduates from higher medical college in our province to basic health service institutions, strengthening community health service personnel, technical exchanges and the strengthening the building of professional ethics of community health personnel. |
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