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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 F o r p e e r r e v i e w o n l y 20 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.