| 引用本文：石磊玉.提升基层照护促进全面健康[J].中国卫生政策研究,2011,4(11):25-28 |
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| 提升基层照护促进全面健康 |
| 投稿时间：2011-10-20 修订日期：2011-10-23 PDF全文浏览 HTML全文浏览 |
| 石磊玉1 |
| 约翰霍普金斯大学公共卫生学院，北京大学中国卫生发展研究中心 |
| 摘要:上海市住院医师规范化培训经历了发展初期、强化技能培训期、探索期和改革期。与过去相比，上海市住院医师规范化培训制度的改革得到了市政府和相关部门更直接的领导；从组织形式、专业学位申请、经费筹措和培训后的自主择业等方面，更突出了住院医师的教育与培训。虽然上海市住院医师规范化培训工作得到了广泛关注与认可，但是未来仍面临挑战，如培训对象与培训基地的准入、培训质量控制、与临床专科培训的关系、改革的可持续性和可推广性。 |
| 关键词:住院医师 规范化培训 改革 挑战 |
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| Advancing primary care to achieve holistic health |
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| Abstract:Standardized training of residents in Shanghai experiences four periods: preliminary development, enhancing skill training, exploration, and reform. Comparing with the past practice, the reform of standardized training of residents in Shanghai is led more directly by Shanghai municipal government and its related departments, is more emphasized on education and training of residents, which represents in terms of organizing, applying of professional degree, financial funding, and job seeking. In addition, the reformed training model tends to be close to the international model of graduate medical education as well as to be accepted by governments, training hospitals, residents and the society as a whole. But standardized training of residents in Shanghai should still be focused on proper selection of residents and training hospitals, quality control of training, correlation with clinical specialty training, and sustainability and replicability of the reform. |
| Key words:Residents Standardized training Reform Challenge |
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