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全科医学在欧洲已有数百年的历史,历来居欧洲医疗体系的主导地位,目前英国有90％以上的人口实行全民健康保险制度,推行全科医学制度。在本世纪初,美国的全科医师制度还位居医疗体系的主体部分,1910年以后提倡医学的专科化,全科医师制度逐渐萎缩,大力发展专科化的结果,使医学的分科越来越细,病人常需一次到几个专科诊治,并有互相推诿或扯皮的现象,与此同时,医疗费用迅猛上涨,因此,全科医学重新得到重视,1971年美国的全科医学学会更名为家庭医师学会,会员人数由1950年的10000人增到1982年72000人,约占全美医师的12％,其数量仅次于内科医师(16％),预计美国还需要增加三万名左右的家庭医师,才能基本满足形势的需要。我国于1989年11月在北京召开了第一届国际全科医学学术会议,同期,首都医学院的全科医师培训
General medicine has been in Europe for hundreds of years and has historically dominated the European medical system. At present, more than 90% of the population in the UK has a universal health insurance system and implements a general medicine system. At the beginning of this century, the general practitioner system of the United States was still in the main part of the medical system. After 1910, the medical specialization was promoted, the system of general practitioners gradually shrank, and the result of specialization was vigorously developed, making the division of medicine more and more. As a result, patients often need to go through several specialist consultations at one time, and they have the phenomenon of pushing or bucking each other. At the same time, medical expenses are rising rapidly. Therefore, general medicine has been re-emphasized. In 1971, the American Institute of General Practice changed its name to family. The Institute of Physicians increased the number of members from 10,000 in 1950 to 72,000 in 1982, accounting for about 12% of physicians in the United States. The number of physicians is second only to physicians (16%), and it is estimated that the United States still needs to add about 30,000 family physicians. In order to basically meet the needs of the situation. China hosted the first international general medicine conference in Beijing in November 1989. In the same period, general practitioner training in Capital Medical College