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学科主题: 护理学
题名:
Transformation of the education of health professionals in China: progress and challenges
作者: Hou, Jianlin1; Michaud, Catherine2; Li, Zhihui2; Dong, Zhe1; Sun, Baozhi3; Zhang, Junhua4; Cao, Depin5; Wan, Xuehong6,7; Zeng, Cheng8,9; Wei, Bo10; Tao, Lijian11; Li, Xiaosong8,9; Wang, Weimin12; Lu, Yingqing13; Xia, Xiulong14; Guo, Guifang15; Zhang, Zhiyong16; Cao, Yunfei16; Guan, Yuanzhi17; Meng, Qingyue18; Wang, Qing13; Zhao, Yuhong19; Liu, Huaping20; Lin, Huiqing21; Ke, Yang12; Chen, Lincoln2
刊名: LANCET
发表日期: 2014-08-30
卷: 384, 期:9945, 页:819-827
收录类别: SCI
文章类型: Review
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: FUTURE
英文摘要:

In this Review we examine the progress and challenges of China′s ambitious 1998 reform of the world′s largest health professional educational system. The reforms merged training institutions into universities and greatly expanded enrolment of health professionals. Positive achievements include an increase in the number of graduates to address human resources shortages, acceleration of production of diploma nurses to correct skill-mix imbalance, and priority for general practitioner training, especially of rural primary care workers. These developments have been accompanied by concerns: rapid expansion of the number of students without commensurate faculty strengthening, worries about dilution effect on quality, outdated curricular content, and ethical professionalism challenged by narrow technical training and growing admissions of students who did not express medicine as their first career choice. In this Review we underscore the importance of rebalance of the roles of health sciences institutions and government in educational policies and implementation. The imperative for reform is shown by a looming crisis of violence against health workers hypothesised as a result of many factors including deficient educational preparation and harmful profit-driven clinical practices.

语种: 英语
项目资助者: China Medical Board for this Review
WOS记录号: WOS:000341361500042
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64862
Appears in Collections:北京大学护理学院_期刊论文

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作者单位: 1.Peking Union Med Coll, Off Educ Adm, Beijing 100021, Peoples R China
2.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100871, Peoples R China
3.China Med Univ, Dept Human Resources, Shenyang, Peoples R China
4.Peking Union Med Coll, Sch Nursing, Beijing 100021, Peoples R China
5.Minist Educ, Beijing, Peoples R China
6.Guangxi Med Univ, Nanning, Peoples R China
7.Peking Univ, Sch Nursing, Beijing 100191, Peoples R China
8.Peking Univ, Inst Med Educ, Beijing 100191, Peoples R China
9.China Med Board, Cambridge, MA USA
10.China Med Univ, Ctr Med Educ Res, Shenyang, Peoples R China
11.Minist Hlth, Hlth Human Resources Dev Ctr, Beijing, Peoples R China
12.Harbin Med Univ, Harbin, Peoples R China
13.Sichuan Univ, West China Sch Med, Chengdu 610064, Peoples R China
14.Sichuan Univ, West China Hosp, Chengdu 610064, Peoples R China
15.Sichuan Univ, West China Sch Publ Hlth, Chengdu 610064, Peoples R China
16.Sichuan Univ, West China Hosp 4, Chengdu 610064, Peoples R China
17.Guangxi Food & Drug Adm, Nanning, Peoples R China
18.Xiangya Sch Med, Changsha, Hunan, Peoples R China
19.Peking Univ, Hlth Sci Ctr, Beijing 100191, Peoples R China
20.Fudan Univ, Shanghai Med Coll, Shanghai 200433, Peoples R China
21.Jiujiang Univ, Med Ctr, Jiujiang, Peoples R China

Recommended Citation:
Hou, Jianlin,Michaud, Catherine,Li, Zhihui,et al. Transformation of the education of health professionals in China: progress and challenges[J]. LANCET,2014,384(9945):819-827.
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