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e-Article

중국 민간중의사 자격 준입제도의 고찰
Discussion on the Qualification Access System of Civil Traditional Chinese Medical Doctors in China
Document Type
Article
Text
Source
중국법연구, 11/30/2020, Vol. 44, p. 371-404
Subject
민간중의사
사승(师承)
확유전장(确有专长)
자격 고시
자격 고과
Civiltraditional chinese medicaldoctors
Mentoring
People with expertise
Qualification examination
Qualification assessment
民间中医师
师承
确有专长
资格考试资格考核
Language
한국어(KOR)
ISSN
1738-7051
Abstract
中国民间中医师是中医师队伍的重要组成部分,其以庞大的队伍规模 及独特的地缘优势为国家医疗卫生事业以及国民健康做出了不可磨灭的 贡献. 医学院校教育体系形成后,中医学院校教育以科学化、专业化、标 准化的特点得到大众认可. 以传统师承、家传和自学方式培养的民间中医 师体系遭受打击并逐渐没落. 中国广大农村地区及偏远山区人口众多,医 疗资源严重不足,国家卫生部门意识到,想要缓解城乡医疗资源不均衡 的矛盾,需要依靠民间中医师,应该赋予民间中医师合法的行医资格. 现阶段民间中医师取得合法行医资格的方式主要有两种:一是通过执 业医师资格考试制度取得执业中医师资格,二是通过中医医术确有专长 人员医师资格考核制度取得中医医术确有专长人员医师资格. 资格考试制 度下,民间中医师通过执业医师资格考试后便取得与学历中医师同样的 执业权限,这不仅有不公平之嫌,同时因民间中医师缺乏理论知识,容 易引发医疗纠纷. 相比之下,资格考核制度更适合民间中医师的发展特 色,有利于传统中医学的继承. 因此,笔者建议废止民间中医师资格考试 制度,同时对资格考核制度中的不完善之处予以修缮,以更合理完善的 制度体系促进民间中医师的发展,形成中国特色多层次中医师队伍,为 中医学和国家医疗卫生事业的发展贡献更多力量.
Civiltraditional Chinese medicaldoctor is an important part of the team of traditionalChinese medical doctor in China. With their huge team scale and unique geographicaladvantages, they have made indelible contributions to the national medical andhealth industry and national health. After the formation of education system ofmedical schools, the education of Chinese medical schools has been recognizedby the public for its scientific, professional and standardizedcharacteristics.The system of civil traditional Chinese medical doctors trained by traditional methodsof mentoring, family transmission, and self-study has been gradually declined.China’s vast rural areas and remote mountainous areas have a large populationand serious shortage of medical resources. The state health department realizesthat in order to alleviate the imbalance of urban and rural medical resources,they can only rely on civil traditional Chinese medical doctors who should be given legalmedical qualifications. There are two main ways for civiltraditional Chinese medicaldoctors to obtain legal medical qualifications: one is to obtain thequalifications of traditional Chinese medical doctors through the qualificationexamination system, and the other is to obtain the qualifications of peoplewith expertise in traditional Chinese medicine through the qualificationassessment system. Under the qualification examination system, civiltraditional Chinese medicaldoctors can obtain the same practicing authority as academic traditionalChinese medical doctors after passing the qualification examination. This isnot only unfair, but also easy to cause medical disputes, because civiltraditional Chinese medicaldoctors are lack of theoretical knowledge. In contrast, the qualificationassessment system is more suitable for the development characteristics of civiltraditional Chinese medicaldoctors and is conducive to the inheritance of traditional Chinese medicine. Therefore, the author proposes to abolish the qualification examination systemfor civil traditional Chinese medical doctors, and at the same time modifythe imperfections in the qualification assessment system. It is hope to promotethe development of civil traditional Chinese medical doctors with a more reasonable andcomplete system, and form a multi-level traditional Chinese medicine doctorteam with Chinese characteristics, and contribute more to the development oftraditional Chinese medicine and national medical and health undertakings.