关键词: 中医类别特岗全科医生, 实施现状, 对策研究

Abstract: Background　To gradually solve the shortage of general practitioners（GPs） and licensed physicians in primary care，China has implemented the special scheme of recruiting GPs to work in remote areas with harsh conditions since 2013 to guide and encourage highly qualified medical and health professionals to deliver general care in primary care. At present，there are few investigations on the implementation of this kind of special schemes of recruiting TCM GPs. Objective　To investigate the implementation of the special scheme for recruiting TCM GPs to work in remote areas with harsh conditions，to promote the development of TCM workforce in primary care. Methods　From July 1 to 20，2019，participants were recruited from 14 provinces of China in which the special scheme for recruiting GPs to work in remote areas with harsh conditions has been implemented as a pilot project. Of them，administrators（n=970） of 970 township hospitals （one administrator from each township hospital） attended an online questionnaire survey，and specially recruited TCM GPs（n=258） working at township hospitals attended another online questionnaire survey，and other 32 informants （4 leaders from county-level administrative institutions of Chinese medicine，4 leaders of county-level TCM hospitals，8 directors of township hospitals and 16 representative TCM GPs） attended group interviews. Results　According to the survey，793（81.8%）of the responded administrators thought there was a shortage of TCM medical professionals，and 915（94.3%）thought that the special recruitment scheme was an appropriate project for their hospital，and 851（87.7%） thought the total specially recruited TCM GPs should be increased.Among the 258 TCM GPs，173（67.0%）had junior college degree or below，112（43.4%） had an annual salary of less than 50 000 yuan. Their main difficulties and demands were as follows：access to continuing medical education and training （94.2%，243/258），access to an officially budgeted post（91.1%，235/358），improving the salary （73.6%，190/258），access to the guidance from highly qualified physicians from higher level hospitals during practice（64.3%，166/258）. 255（98.8%） of them considered it was necessary to carry out the special recruitment scheme in township hospitals，and 249（96.5%） thought it was necessary to increase the number of special recruited TCM GPs. All the group interviewees were in support of increasing the number of special recruited TCM GPs. Conclusion　The specially recruited TCM GPs in township hospitals had solved the shortage of GPs to some extent，and their services had obtained favorable comment from concerned primary care departments and patients. However，on the whole，they were not well-paid，had relatively low education level，limited career development and less training opportunities. To address the needs of TCM GPs in primary care，a set of actions are required such as promoting the pilot implementation of this special recruitment scheme，increasing the number of recruited cases，strengthening continuing medical education for recruited TCM GPs and safeguarding their vital interests via increasing financial investment.

Key words: Special post general practitioner of traditional Chinese medicine, Implementation status quo, Countermeasure research