基层全科医师发展精神卫生亚专长的必要性及路径探索  

The Necessity and Path Exploration of Developing Psychosis Subspecialty among General Practitioners in Primary Care Settings

作　　者：叶青 陈明敏 任菁菁[2] YE Qing;CHEN Mingmin;REN Jingjing(Department of General Practice,Jinqing Town Health Center,Luqiao District,Taizhou 318058,China;Department of General Practice,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江省台州市路桥区金清镇卫生院全科医疗科,318058 [2]浙江大学医学院附属第一医院全科医疗科,浙江省杭州市310003

出　　处：《中国全科医学》2025年第16期1950-1954,1960,共6页Chinese General Practice

摘　　要：亚专长全科医师既能提供优质的全科医疗服务,也能提供一定深度的某专科医疗服务,几个不同专业的亚专长全科医师组合,能为辖区居民提供较为完善、全面、又有一定深度的基本医疗服务。在当前精神卫生专业服务能力无法满足居民需求的情况下,鼓励一部分基层全科医师发展精神卫生亚专长的必要性日渐突显。本文分析了培养精神卫生亚专长全科医师的必要性,基层全科医师发展精神卫生亚专长的优势,推进基层全科医师发展精神卫生亚专长面临的阻力,进而提出推进基层全科医师发展精神卫生亚专长的建议,包括精神卫生亚专长全科医师培训基地构建,精神卫生亚专长全科医师学习平台拓展,精神卫生亚专长师资队伍建设,政策及资金支持、薪资与晋升激励政策等,以期助力全科医师发展精神卫生亚专长,更好地维护居民健康。General practitioners with sub-specialties can not only provide high-quality general medical services,but also provide a certain depth of specialized medical services.The combination of general practitioners with sub-specialties of different specialties can provide relatively comprehensive and certain depth of basic medical services for residents in their jurisdictions.Under the situation that the professional service capacity of mental health cannot meet the needs of residents,the necessity of encouraging some general practitioners to develop mental health subspecialties has become increasingly prominent.This article analyzes the necessity of training general practitioners with psychosis subspecialty,the advantages of developing psychosis subspecialty among general practitioners,the obstacles to promoting the development of psychosis sub-expertise of general practitioners in primary care are proposed:the construction of general practitioners training bases for psychosis subexpertise,the learning platform for general practitioners with psychosis sub-expertise was expanded,construction of subspecialty teachers of psychosis,policy and financial support,salary and promotion incentive policies,etc.,are expected to help general practitioners develop psychosis sub-expertise.

关 键 词：全科医生 亚专长 精神卫生 社区卫生服务 

分 类 号：R192.3[医药卫生—卫生事业管理]