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目的了解上海市嘉定区社区全科医生的工作现状,探求全科医生在社区卫生服务工作中存在的问题和对策。方法采用问卷调查的方法并进行统计分析。结果嘉定区社区卫生服务机构中仅有22.41%的医生参加过全科医生规范化培训,其所熟悉的临床诊疗范围主要集中在内科、外科,对妇科、骨科、儿科及五官科的常见病诊疗及X线读片、超声检查、眼底检查等基本技能明显欠缺。有79.86%的全科医生取得中级以上职称,但其中三分之一存在高职低聘现象。该群体的矛盾焦点主要反映在对收入、待遇的不满,对职责定位的困惑,以及业务需求与能力范围之间的落差等方面。结论健全规范化培训制度,加大全科医师政策扶持和倾斜力度,健全全科医疗工作规范,提升全科医生的社会形象。
Objective To understand the current situation of community general practitioners in Jiading District of Shanghai and explore the problems and countermeasures of general practitioners in community health services. Methods The method of questionnaire survey and statistical analysis. Results Only 22.41% of the community health service agencies in Jiading District participated in standardized training of general practitioners. The clinical diagnosis and treatment coverage of them is mainly in the fields of internal medicine and surgery, diagnosis and treatment of common diseases in gynecology, orthopedics, pediatrics and ENT X-ray film, ultrasound, fundus examination and other basic skills were clearly lacking. 79.86% of general practitioners have obtained mid-level and above professional title, but one-third of them have the phenomenon of high-level and low-level employment. The focus of the group’s conflicts are mainly reflected in the income, dissatisfaction with treatment, the confusion on the role of responsibility, as well as business needs and the scope of the gap between ability and so on. Conclusions We will improve the standardization training system, increase the policy support and inclination of general practitioners, improve the general medical practice and enhance the general image of general practitioners.