中国全科医学 ›› 2021, Vol. 24 ›› Issue (22): 2765-2769.DOI: 10.12114/j.issn.1007-9572.2021.00.152

所属专题: 社区卫生服务最新研究合集

• 专题研究 • 上一篇    下一篇

提升全科医生职业吸引力的SWOT分析

申鑫,冯晶,甘勇*,卢祖洵   

  1. 430030湖北省武汉市,华中科技大学同济医学院公共卫生学院
    *通信作者:甘勇,讲师;E-mail:scswj2008@163.com
  • 出版日期:2021-08-05 发布日期:2021-08-05
  • 基金资助:
    国家自然科学基金资助项目(71804049);中央高校基本科研业务费资助项目(2020kfyXJJS059)

Enhancing the Attractiveness of General Practice as a Career:a SWOT Analysis 

SHEN Xin,FENG Jing,GAN Yong*,LU Zuxun   

  1. School of Public Health,Tongji Medical College,Huazhong University of Science & Technology,Wuhan 430030,China
    *Corresponding author:GAN Yong,Lecturer;E-mail:scswj2008@163.com
  • Published:2021-08-05 Online:2021-08-05

摘要: 我国全科医生队伍人才短缺、人员留用困难的问题极大地影响着基层医疗卫生服务的发展,也给分级诊疗制度的落实与推进带来巨大挑战,亟须制定策略维护和提升全科医生的职业吸引力。本文基于SWOT分析法,探讨当下全科医学与全科医生队伍具备的优势与劣势,以及所面临社会环境的机会和威胁。提出:目前我国提升全科医生职业吸引力面临的优势在于广泛的政策支持、全科教育的持续发展及符合健康中国发展目标;劣势在于全科医生的社会认同不高及管理制度的缺乏;机会在于医药卫生体制改革、医联体建设和健康信息技术的发展;威胁在于具体医疗行为的限制及培养体系、硬件基础的缺乏。同时,文章在分析全科医生职业吸引力提升动因和面临挑战的基础上,制定符合全科医学发展方向的应对策略,包括增加财政支持力度、强化制度建设、拓宽晋升平台、优化团队配置等方面,以期提升全科医生职业吸引力,促进我国全科医生队伍可持续发展。

关键词: 全科医生, 职业吸引力, SWOT分析

Abstract: In China,the shortage of general practitioners(GPs) and difficulties in retaining general practice talents have produced great effects on the development of primary healthcare services,and also brought great challenges to the implementation and promotion of the tiered healthcare system. So it is necessary to formulate policies to maintain and improve the attractiveness of general practice as a career. To this end,we performed a SWOT analysis based on an overview of domestic general practice and general practice workforce,and proposed the following ideas:strengths consist of extensive policy support,continuous development of general practice education and developmental significance similar to a goal of building a healthy China;weaknesses include low social identity for GPs,and lack of efficient manage system for GPs;opportunities cover the reform of the pharmaceutical and healthcare system,construction of the medical consortium,and development of health information technologies;threats contain lack of limitations for some medical practice behaviors,training system for GPs and appropriate hardware infrastructure. Then we put forward recommendations as incentive solutions to enhance the attractiveness of general practice as a career and promote the sustainable development of general practice,including increasing the financial support for general practices,strengthening the development of a management system for general practices,broadening the promotion platform for GPs,and optimizing the configuration of the GP team.

Key words: General practitioners, Occupational attractiveness, SWOT analysis