MBBS, FCPS (Family Medicine), MSc Clin Res, MRCGP UK-INT, PhD, Asst Professor and Head of Family Medicine, Liaquat National Hospital, Karachi, Pakistan.
MBBS, Diplomate American Board of Family Medicine; Associate Professor, Department of Family Medicine, Aga Khan University Hospital, Karachi, Pakistan.
Aust J Gen Pract. 2018 Sep;47(9):651-653. doi: 10.31128/AJGP-02-18-4492.
Pakistan is a developing country that has a double burden of communicable and non-communicable disease. Healthcare reform is required to combat these prevailing healthcare issues with the 'family medicine approach' to primary care. Developing a workforce of trained general practitioners (GPs) to implement this approach is essential but challenging, yet there are success stories not only from developed countries but also from a few developing countries.
General practice is a specialty that has been recognised only recently in Pakistan. This article reviews the challenges of developing a workforce of trained GPs for primary care and proposes solutions to address the gap.
Involving all stakeholders and organisations related to the specialty of general practice, integrating the subject of family medicine at an undergraduate level and encouraging postgraduate training and capacity-building through on-the-job training of GPs working in rural and urban primary care are all essential to develop a workforce of trained GPs in Pakistan. At the same time, standardisation and accreditation of primary care sites for training and research through public-private partnership are recommended.
巴基斯坦是一个发展中国家，面临着传染病和非传染性疾病的双重负担。需要进行医疗改革，以“家庭医学方法”来应对主要医疗保健问题。培养一支经过培训的全科医生（GP）队伍来实施这种方法至关重要，但也具有挑战性，但不仅是发达国家，还有一些发展中国家已经有了成功的案例。
全科医学是最近才在巴基斯坦被认可的一个专业。本文回顾了为初级保健培养经过培训的全科医生队伍所面临的挑战，并提出了解决这一差距的方案。
让全科医学专业的所有利益相关者和组织参与进来，将家庭医学科目整合到本科阶段，并通过对在农村和城市初级保健工作的全科医生进行在职培训来鼓励研究生培训和能力建设，这些都是在巴基斯坦培养一支经过培训的全科医生队伍的必要条件。同时，建议通过公私伙伴关系对培训和研究的初级保健场所进行标准化和认证。
