Yiling Pharmaceutical Co., Ltd. Wu Xiangjun: strengthen the training of general practitioners to make up for the short board of medical and health development

"Grass roots medical treatment is still the short board of medical and health development in China." On March 4, Wu Xiangjun, a deputy of the National People's Congress and general manager of Shijiazhuang Yiling Pharmaceutical Co., Ltd., pointed out at the "voice · responsibility 2019 CPPCC members' Symposium" In order to reform and improve the incentive mechanism for the training and use of general practitioners, on January 24, 2018, the opinions of the general office of the State Council on the reform and improvement of the incentive mechanism for the training and use of general practitioners (hereinafter referred to as the "opinions") was officially released For the important role of general practitioners, the opinion points out that general practitioners are the gatekeepers of residents' health and the health guards around the people It is an urgent need to strengthen the construction of grass-roots talent team with general practitioners as the focus, and train general practitioners with sufficient quantity, qualified quality, optimized structure and balanced distribution to promote the construction of hierarchical diagnosis and treatment system and meet the health needs of the people In terms of specific quantitative indicators, the opinion proposes that by 2020, every 10000 residents in urban and rural areas will have 2-3 qualified general practitioners By 2030, there will be five qualified general practitioners for every 10000 residents in urban and rural areas According to Wu Xiangjun, the current general practitioners in China have the common situation of low education, insufficient quantity and low salary "Due to the limitation of social development, there is a certain gap between the construction of general practitioners and the demand of" healthy China ", and grass-roots medical treatment is still the short board of medical and health development." Wu pointed out First, general practitioners have low educational background, Wu said Data shows that in community health service centers, less than 50% of doctors with bachelor's degree or above, about 30% of doctors with college degree, and about 20% of doctors with technical secondary school or below Only 20% of the doctors with bachelor degree or above, 40% of the doctors with junior college degree and 40% of the doctors with junior college degree or below To the village health room, only 2% of the undergraduates, 20% of the junior college students, and nearly 80% of the students below the secondary school students Secondly, the number of general practitioners is seriously insufficient According to statistics, the number of general practitioners is 209100, and there is a gap of about 500000 between the goal of having 5 general practitioners per 10000 by 2030 There is a big gap between the number of general practitioners per 10000 people in China and that in developed countries Third, general practitioners are paid less "According to statistics, more than half of the general practitioners in China have a monthly salary of 3000 yuan or less, while in some countries, the salary of general practitioners is 3-4 times of the average social salary," Wu said This will lead to the lack of attractiveness of general practitioners in China " According to Wu Xiangjun, as the gatekeeper of residents' health, general practitioners are responsible for the prevention, diagnosis, treatment, management and rehabilitation of common and frequently occurring diseases, and play an important role in providing continuous, comprehensive and even personalized medical and health work for all kinds of families Wu pointed out that the situation of general practitioners with low educational background, insufficient quantity and low salary could not be solved, and it was difficult for the national hierarchical diagnosis and treatment system to be fully implemented at the grass-roots level Based on the above phenomena and problems, Wu Xiangjun put forward four suggestions to strengthen the training of general practitioners: first, improve the level of education and diagnosis of general practitioners We will further expand the apprenticeship model at the grass-roots level, including the implementation of other theoretical teaching, simulation training, network training, clinical teaching, etc., and cultivate a group of medical talents for the prevention, diagnosis and treatment of common diseases Second, improve the general practitioner's health management service ability Health management is an important part of "healthy China", and will become a major development direction in the future Third, we should strengthen the differentiated medical service ability of general practitioners The current situation, development level and trend of diseases in different regions are different, so it is necessary to strengthen the general practitioners' grasp and judgment of diseases in different regions Fourth, edit and publish more guide books suitable for grass-roots diagnosis and treatment There are some medical guidelines that grassroots doctors still have difficulties in mastering We should increase the books on clinical practice of general practitioners.