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印度实现了世界卫生组织建议的医生与人口比例:呼吁公共卫生话语的范式转变!

India achieves WHO recommended doctor population ratio: A call for paradigm shift in public health discourse!

作者信息

Kumar Raman, Pal Ranabir

机构信息

President Academy of Family Physicians of India and Chief Editor Journal of Family Medicine and Primary Care, Kishanganj, Bihar, India.

Department of Community Medicine, MGM Medical College and LSK Hospital, Kishanganj, Bihar, India.

出版信息

J Family Med Prim Care. 2018 Sep-Oct;7(5):841-844. doi: 10.4103/jfmpc.jfmpc_218_18.

Abstract

The Indian medical education system has been able to pull through a major turnaround and has been successfully able to double the numbers of MBBS graduate (modern medicine training) positions during recent decades. With more than 479 medical schools, India has reached the capacity of an annual intake of 67,218 MBBS students at medical colleges regulated by the Medical Council of India. Additionally, India produces medical graduates in the "traditional Indian system of medicine," regulated through Central Council for Indian Medicine. Considering the number of registered medical practitioners of both modern medicine (MBBS) and traditional medicine (AYUSH), India has already achieved the World Health Organization recommended doctor to population ratio of 1:1,000 the "Golden Finishing Line" in the year 2018 by most conservative estimates. It is indeed a matter of jubilation and celebration! Now, the time has come to critically analyze the whole premise of doctor-population ratio and its value. Public health experts and policy makers now need to move forward from the fixation and excuse of scarcity of doctors. There is an urgent need to focus on augmenting the fiscal capacity as well as development of infrastructure both in public and private health sectors toward addressing pressing healthcare needs of the growing population. It is also an opportunity to call for change in the public health discourse in India in the background of aspirations of attaining sustainable development goals by 2030.

摘要

印度的医学教育体系已经实现了重大转变,在最近几十年里成功地将MBBS毕业生(现代医学培训)的数量增加了一倍。印度有超过479所医学院,在印度医学委员会监管的医学院中,每年能够招收67218名MBBS学生。此外,印度还通过印度医学中央委员会监管,培养“传统印度医学体系”的医学毕业生。考虑到现代医学(MBBS)和传统医学(阿育吠陀)注册医生的数量,据最保守估计,印度在2018年已经达到了世界卫生组织建议的1:1000的医生与人口比例的“黄金终点线”。这确实是一件值得欢庆的事情!现在,是时候批判性地分析医生与人口比例这一整体前提及其价值了。公共卫生专家和政策制定者现在需要从对医生短缺的执着和借口上向前迈进。迫切需要专注于增强财政能力,以及在公共和私营卫生部门发展基础设施,以满足不断增长的人口迫切的医疗保健需求。在印度力争到2030年实现可持续发展目标的背景下,这也是呼吁改变公共卫生话语的一个契机。

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