Provider perspectives on general practice in Henan, China: a mixed-methods study

Zhu, Jiming; Ariana, Proochista

China's case now is the opposite. Theoretically, from medical school education to residency and then to being a primary care doctor, one's understanding of general practice should be increasingly better. Nonetheless, in China the primary care doctors are more likely to misinterpret general practice than the other two groups (Table 4 ). This phenomenon relates to the everyday work of China's primary care doctors -the more one has exposure to the work designated as so-called 'general practice' in real life, the more confused one gets. Here China's health delivery system and medical education form a vicious circle for the training of GPs. A holistic package of reforming the whole system is needed, and the increased number/percentage of GPs becomes valuable only when it is a natural result of strengthened primary health care.