上海专科医师制度改革的对策研究.pdfVIP

“四个中心”城市而不断努力，同时 2010 年举办世博会，这些工作都对医 疗事业发展提出了新的更高的要求。专科医师作为医疗事业中极为关键的 一环，专科医师制度的建立是上海医疗事业必须面对和解决的问题。目前， 上海专科医师制度正在不断建立和完善中，本文即将成文的时候即2009 年 3 月上海市卫生局颁布了《上海市专科医师培训基地认定办法》，推动上海 专科医师制度向前迈进了一步。但是专科医师制度所包括的培训制度、准 入制度和管理制度等制度规范还存在很多问题：医学教育存在的主要问题、 医师职称制度的制约、专科医师准入制度的缺失等。本文通过对相关文献 的回顾, 同时借鉴先进国家和地区专科医师制度的实践经验, 就上海市如 何完善既符合实情, 又与国际接轨的专科医师制度进行研究，提出改进和 完善上海医学教育体制、改进传统医师职称制度、严格专科医师准入制度 这三方面建议和意见。 关键词：上海专科医师制度，改革，对策 III THE RESEARCH ON REFORM MEASURES OF SPECIALIST SYSTEM IN SHANGHAI ABSTRACT st On January 21 , the State Council held an executive meeting, examined and approved in principal “views on deepening the reform of the medical and health system” and “the implementation plan of deepening the reform of medical and health system from 2009 to 2011”, in April the same year, “the State Council’s views on the deepening reform of the medical and health system” was promulgated. This heralded a new round of the medical and health system reform. The general objectives of this round of deepening reform are :to establish a basic medical and health system that covers both rural and urban residents and provide the masses a safe , effective, convenient and inexpensive medical and health service. In order to realize these objectives, to improve the quality and potency of specialist physicians is an indispensable measure. Physicians are divided into two types: general practitioners and specialists. Today with the rapid development of medical standards, medicine now