我国全科医学的学科定位与社区卫生建设的关系  

Relationship Between Subject Orientation of General Practice and Construction of Community Health Service in China

作　　者：柴云[1] 孙琪临[1] 李国华[1] 

机构地区：[1]湖北医药学院卫生管理与卫生事业发展研究中心,湖北十堰442000

出　　处：《医学与哲学（A）》2013年第9期80-82,共3页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：湖北省教育科学"十一五"规划项目"地方院校推进医学生社区卫生服务基地建设研究";项目编号:2010B314;湖北医药学院教学研究项目"医学院校全科医学社区实践教学基地建设及评价研究";项目编号:2011010;湖北医药学院药护学院教学研究项目"基于全科医学理念下的医学生社区卫生服务实习基地建设研究";项目编号:YHJ201006

摘　　要：随着许多医学院校定向培养到基层医疗机构工作的医生,基层医疗机构与全科医学紧密联系起来。从我国全科医学的学科定位、全科医学与社区卫生建设的关系、全科医学教育的社区实践三方面进行论述,指出全科医学在当今世界已成为一门标准化科学,属于临床医学,而目前我国全科医学不具有学科的独立性;全科医学人才的培养目标模糊,出现"全科是退而求其次"的状况;社区卫生建设跟不上人才培养的需要。因此,需要促进我国全科医学独立性的形成,专门培养全科医学人才,加强社区卫生建设。With a lot of medical colleges and universities are training students to work in the primary care institutions, grassroots medical institutions have had closer ties to general practice（GP）. This paper discussed three aspects, such as the subject orientation of Chinese GP, relationship between the GP and the construction of Community Health Service （CHS）, the community practice in GP education. It aims to provide certain ideas and reference. General medicine has become a standard science in the world, belong to the clinical medicine. At present it do not have the independence of the subject in China. The cultivating target of general medical talent is fuzzy, and the following situation is ＂GP is to settle for second best＂. The construction of CHS cannot keep up with the need of talent cultivation. Therefore, we need promote the formation of the independence in general medicine, cultivate general medical personnel specially, strengthen the construction of CHS.

关 键 词：全科医学 临床医学 社区卫生 

分 类 号：R499[医药卫生—康复医学] R-05[医药卫生—临床医学]