International primary care snapshots: Israel and China.

作者: Michal Shani , Harry HX Wang , Samuel YS Wong , Sian M Griffiths , None

DOI: 10.3399/BJGP15X684913

关键词:

摘要: For many years community medicine has been the ‘stepdaughter’ of in Israel since most medical training took place hospitals, and was perceived as second best. This changed dramatically past decades. Since 1995, accordance with Israeli national health law, all residents state are entitled to receive care, provided by four maintenance organisations (HMOs). The service is based on primary care clinics spread across country. Today there around 5500 GPs, which approximately 1600 board-certified family physicians employed HMOs. The programme began 1969, early 1990s, a significant increase number specialising medicine. Each HMO at least one department responsible for programme. The 4-year internship undergone numerous changes recent years. portion extended expense hospital wards, order shift teaching paradigm care. Board exams were modified include standard parts enabling more uniform testing reducing examiner dependent bias. ### Moving front stage Excellent key good Changes healthcare system led moving services from hospitals into reduce costs improve availability, turn leading an increment exposure schools. Yet vast majority clinical still oriented. Clerkship became integral, mandatory part studies schools Israel, clerkship have added. school, opened 2012 Safed branch Bar-Ilan University, includes about one-quarter …

参考文章(8)
Z.H. Zhou, H.H.X. Wang, X.W. Wang, L. Xu, J.J. Wang, General practice education and training in southern China: recent development and ongoing challenges under the health care reform. Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia. ,vol. 8, pp. 2- 10 ,(2013)
Qian Liu, Bin Wang, Yuyan Kong, KK Cheng, China's primary health-care reform The Lancet. ,vol. 377, pp. 2064- 2066 ,(2011) , 10.1016/S0140-6736(11)60167-0
H. H. X. Wang, S. Y. S. Wong, M. C. S. Wong, J. J. Wang, X. L. Wei, D. K. T. Li, J. L. Tang, S. M. Griffiths, Attributes of primary care in community health centres in China and implications for equitable care: a cross-sectional measurement of patients’ experiences QJM: An International Journal of Medicine. ,vol. 108, pp. 549- 560 ,(2015) , 10.1093/QJMED/HCU248
Harry HX Wang, Jia Ji Wang, Samuel YS Wong, Martin CS Wong, Fang Jian Li, Pei Xi Wang, Zhi Heng Zhou, Chun Yan Zhu, Sian M Griffiths, Stewart W Mercer, Epidemiology of multimorbidity in China and implications for the healthcare system: cross-sectional survey among 162,464 community household residents in southern China BMC Medicine. ,vol. 12, pp. 188- 188 ,(2014) , 10.1186/S12916-014-0188-0
H. H. X. Wang, S. Y. S. Wong, M. C. S. Wong, X. L. Wei, J. J. Wang, D. K. T. Li, J. L. Tang, G. Y. Gao, S. M. Griffiths, Patients’ Experiences in Different Models of Community Health Centers in Southern China Annals of Family Medicine. ,vol. 11, pp. 517- 526 ,(2013) , 10.1370/AFM.1545
H. H. X. Wang, J. J. Wang, K. D. Lawson, S. Y. S. Wong, M. C. S. Wong, F. J. Li, P. X. Wang, Z. H. Zhou, C. Y. Zhu, Y. Q. Yeong, S. M. Griffiths, S. W. Mercer, Relationships of Multimorbidity and Income With Hospital Admissions in 3 Health Care Systems Annals of Family Medicine. ,vol. 13, pp. 164- 167 ,(2015) , 10.1370/AFM.1757