Status of Introducing and Stabilizing General Practitioners in Community Health Service Organizations

Objective To explore the solutions to the difficulty of introducing and stabilizing general practitioners (GPs) in community health service organizations.Methods The questionnaire survey and depth interviews were in combination used among undergraduates of grades 2006 and 2007 majoring in general practice in a medical college of Guangzhou,interns majoring in clinical medicine form four three A-graded hospitals and medical staff from 12 community health service centers in Guangzhou.The collected data were analyzed by description analysis,Kruskal-Wallis Test and Logistic regression analysis.Results The GPs were underpaid;human resource structure was unbalanced,GPs' on-the-job training became a mere formality,the source of teachers was simple,and the level of social acceptance was lower,which was the main cause of difficulty in introducing and stabilizing GPs in community health service organizations.Conclusion The solutions should be to perfect the incentive mechanism and raise the benefits of GPs;adjust the human resource structure;improve the efficacy of GPs training and standardize the admittance system of the GPs in community health service organizations;enhance the positive publicity;and develop the traditional Chinese medicine and recruit more GPs of it.