A Comparative Study of General Practitioner Training and Service Models in China and the U.S. Based on Literature Review

Authors

  • Zihan Hua

DOI:

https://doi.org/10.61173/0c8t8r15

Keywords:

General Practitioners, Training Model, Comparative Study, China and the United States

Abstract

s.In the context of changes in the global healthcare system in the 21st century, the importance of general medicine has become increasingly prominent. This study aims to provide valuable references for the future development of the field of general medicine by comparing the differences and characteristics of the training and service models of general practitioners between China and the United States, to promote the construction of a hierarchical diagnosis and treatment system in China. By reviewing extensive relevant literature, this study found significant differences between China and the United States in the training cycle, curriculum, assessment and certification, and job functions of general practitioners. The main conclusions include: that the general medicine education system and the hierarchical diagnosis and treatment system in the United States are rigorous and mature, with the key role of general practitioners being strengthened in multiple ways; although China’s general medicine education has been developing rapidly, issues such as an imperfect training system, weak faculty, and insufficient social cognition and attention remain. It is recommended that the curriculum of Chinese general medicine education be optimized, faculty development strengthened, opportunities for clinical practice increased, and social recognition and remuneration of general practitioners be enhanced to promote the robust development of general medicine.

References

[1] . [1] Accreditation Council for Graduate Medical Education (ACGME). (2023). ACGME Program requirements for graduate medical education in Family Medicine. (pp. 3-63). https://www. acgme.org/globalassets/pfassets/programrequirements/120_ familymedicine_2024.pdf

[2] . [2] Allen, S. (2014). Development of the Family Medicine Milestones. Journal of Graduate Medical Education, 6(1s1), 71- 73. https://doi.org/10.4300/jgme- 06-01s1-06

[3] . [3] Chen Limei, Jia kai, Shi BingYin, et.al (2013). Observations on the status and training of general practitioners in China and the United States. China Higher Medical Education (09), 1-2+17.

[4] . [4] Curriculum guidelines. (n.d.). https://www.aafp.org/ students-residents/residency-program-directors/curriculumguidelines.html

[5] . [5] Feng, Tingting, Wang, Jiahe. (2023). Practical exploration of the dual tutorial system in the training of master’s degree students in general medicine. Clinical and Education in Family Medicine (05), 385-387. doi:10.13558/j.cnki.issn1672- 3686.2023.005.001.

[6] . [6] General practice in the United States : academic medicine. (1964). LWW. https://journals.lww.com/ academicmedicine/citation/1964/04000/general_practice_in_ the_united_states.1.aspx

[7] . [7] NCHS. (2023). Statistical Bulletin on the Development of Health Care in China in 2023. http://www.nhc.gov.cn/ guihuaxxs/s3585u/202408/6c037610b3a54f6c8535c515844f ae96/files/58c5d1e9876344e5b1aa5aa2b083a51a.pdf

[8] . [8] Opinions of the General Office of the State Council on Reforming and Improving the Incentive Mechanisms for the Training and Utilization of General Practitioners State Council Bulletin No. 4, 2018. China.gov.cn. (n.d.). https://www.gov.cn/ gongbao/content/2018/content_5264866.htm Dean&Francis ISSN 2959-6149

[9] . [9] Guiding Opinions of the State Council on the Establishment of a General Practitioner System. (2011). https:// www.gov.cn/zwgk/2011-07/07/content_1901099.htm

[10] . [10] Health insurance plan & network types: HMOs, PPOs, and more. HealthCare.gov. https://www.healthcare.gov/choosea-plan/plan-types/

[11] . [11] Notice of the General Office of the People’s Government of Henan Province on the Issuance of the Implementation Plan for the Reform and Improvement of the Incentive Mechanism for the Training and Utilization of General Practitioners in Henan Province_Yuzhengban_Henan Provincial People’s Government Portal. (2018). https://www.henan.gov. cn/2018/08-20/687353.html

[12] . [12] Ji Tao. (2012). Comparative analysis of Chinese and American general practitioner training methods. Chinese Family Medicine (31), 3642-3644.

[13] . [13]Li Honghe, Jan Carline, Sun Baozhi. The whole process of family physician training in the United States and its inspiration for China [J] Chinese Journal of Medical Education and Exploration,2013,12( 05 ): 433-436. DOI: 10.3760/cma. j.issn.2095-1485.2013.05.001

[14] . [14] Li Yuru. (2022). A comparative study of general practitioner training models in China and the United States (Master’s thesis, Hebei Medical University). Master https://link. cnki.net/doi/10.27111/d.cnki.ghyku.2022.000470doi:10.27111/ d.cnki.ghyku.2022.000470.

[15] . [15] Research and practice of general medicine personnel training system and training mode. (2021). https://jwch.ccmu. edu.cn/docs//2021-12/79bbe443601f4ed19fd07505c47a26f6.pdf

[16] . [16] Schiel, K. Z., & Everard, K. M. (2021). Active learning versus traditional teaching methods in the family medicine clerkship. Family Medicine, 53(5), 359-361. https:// doi. org/10.22454/fammed.2021.340251

[17] . [17] General Office of the Shanghai Municipal People’s Government. (2018). Circular of the General Office of the Shanghai Municipal People’s Government on the Implementation Opinions on the Reform and Improvement of the Incentive Mechanism for the Training and Utilization of General Practitioners in the City. https://www.shanghai.gov.cn/ nw44481/20200824/0001-44481_58096.html

[18] . [18] Capital Medical University. (2012). General Medicine Faculty Training Syllabus. https://jwch.ccmu.edu.cn/docs/2022- 07/8bd4e0c5593d4c6aa679baf66eac03fe.pdf

[19] . [19] Step Exams | USMLE. https://www.usmle.org/stepexams

[20] . [20] Su Chen. (2023). Research on the current situation and demand for research capacity training of master’s degree students in general medicine in Liaoning Province (Master’s thesis, China Medical University). Master https://link.cnki.net/ doi/10.27652/d.cnki.gzyku.2023.000843doi:10.27652/d.cnki. gzyku.2023.000843.

[21] . [21] Webster, F., Krueger, P., MacDonald, H., Archibald, D., Telner, D., Bytautas, J., & Whitehead, C. (2015). A scoping review of medical education research in family medicine. BMC Medical Education, 15(1). https://doi.org/10.1186/s12909-015- 0350-1

[22] . [22] Wu Ning., Cheng Mingyang. Basque, L. et.al. (2018). Report on the development of general practitioner training in China (2018). Chinese Family Medicine (10), 1135-1142.

[23] . [23] Xi’an Medical University Training Program for Master’s Degree in Clinical Medicine (Family Medicine) of Xi’an Medical University (Trial). (2013). https://yjsc.xiyi.edu. cn/info/1011/1348.htm

[24] . [24] General Office of the CPC Central Committee General Office of the State Council Issues Opinions on Further Improving the Medical and Healthcare Service System_Related Documents of the Central Government. Chinese Government Website. https://www.gov.cn/zhengce/2023-03/23/content_5748063.htm

[25] . [25] Xu, G. P., Li, D. H., Niu, L. J. & Wang, J. G.. (2014). Prospects and suggestions of American family medicine for the development of general practice (family) medicine in China. Chinese Family Medicine (16), 1811-1816.

[27] . [26] Yin Fang, Xie Bo, Liu Beizhong. 2011 A new species of the genus Pseudourostyla (Hymenoptera, Staphylinidae) from China. (2024). Research on the construction of a quality assurance system for the training of master’s degree graduate students in general medicine. Health Career Education (05), 34- 38. doi:10.20037/j.issn.1671-1246.2024.05.10.

[28] . [27] Yin Pei, Liu Ying, Ren Jingjing. (2016). A comparative study of domestic and international general practice medical service systems. Chinese General Medicine (01), 8-11.

[29] . [28]Implementation Opinions of the General Office of the Yunnan Provincial People’s Government on the Reform and Improvement of the Incentive Mechanism for the Training and Utilization of General Practitioners_Latest Documents_Yunnan People’s Government Portal. (2018). https://www.yn.gov.cn/ zwgk/zcwj/zxwj/201911/t20191101_184087.html

[30] . [29] Zhang Zhaochun, Hu Haiyuan, Zhang, Yili. (2019). Research on the construction of a new type of general practice medical service system under the background of “Internet+”. Chinese Family Medicine (25), 3062-3067.

Downloads

Published

2024-12-31