Comparative Analysis on Current Status of China's General Practitioners Human Resources and 2020 Policy Goals

doi:10.7664/CHE20171013

Abstract：Objective:To observe the development of China's General Practitioners(GPs) human resource and its gap witn government's 2020 policy goals.Methods:2013-2016 national and provincial data from China health statistics yearbook were analyzed.The resource and consistent ratio per capita were applied to analyze the allocation of GP resources in institutions,regions and provinces.The registration ratio was used to calculate the profession attraction of GP.Pearson correlation coefficient was used to reflect the relationship between GPs allocation and related factors.Results:(1) Compared to 2012,the total number of trained GPs in 2015 was increased by 71.82％,while the registration rate of trained GPs had been below 40.00％.The registered GPs accounted by 2.20％ of practicing(assistant) physicians.(2) The number of trained GPs and registered GPs per 10 000 residents were 1.37 and 0.50.The gap between east and middle-west areas was 1.7 times,and that between highest and lowest-allocated provinces was 7.8 times.The registration rate of GPs in highest province was 3.9 times of that in the lowest.(3) 83.40％ of trained GPs were in primary medical institutions.The average number of GPs per rural and urban basic institution were above 1 in 2012 and above 2 in 2014.The 2020 policy goal was completed ahead of time.(4) The number of trained GPs was positively correlated with the proportion of urban residents,per capita GDP and medical technical personnel in basic institution per 1 000 persons(r=0.64,0.69,0.60,P＜0.01).The registration rate of GPs was positively correlated with the government health input per capita(r=0.55,P＜0.01).(5) There was a huge gap of 107 422～ 229 528 person between present trained GPs and the 2020 goal of government's plan.According the low level of the plan,11 provinces had a gap of trained GPs above 5 000,while 19 provinces did according the high level of the plan.Conclusion:The development of China's GPs human resource was confronted with lack of trained GPs,uneven distribution of human resource across the country and low registration rate,which demonstrated the tardy transformation of medical production,lack of incentive for GPs and the poor attractiveness of GPs' profession.