从经济学角度分析主诊医师负责制的专业化发展  

Analysis of Specialization Development of Attending Responsibility System from The Angle of Economics

作　　者：连斌[1] 杨志平[2] 邢茂迎[1] 罗旭[3] 许苹[4] 吴金京[5] 

机构地区：[1]第二军医大学东方肝胆外科医院,上海200433 [2]第四军医大学西京医院消化内科,西安710032 [3]第三军医大学西南医院医教部,重庆400038 [4]第二军医大学卫勤系卫生事业管理教研室,上海200433 [5]南京军区总医院消毒供应科,南京210002

出　　处：《解放军医院管理杂志》2006年第7期588-590,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：主诊医师负责制较有效地解决了激励问题,但其推动绩效增长的实现机制部分在于分工与专业化的深化,而主诊医师负责制改革中的权利界定则是专业化发展的内在原因。本文试从经济学的角度对专业化效果进行了成本收益的边际分析,并引证了实施主诊改革的某大型综合性医院骨科专业化生产经验,并对专业化带来的问题进行了探讨。Attending responsibility system settled the problems of inspiriting effectively for that it could deepen the dividing the work and specializations, and that the defining of attending~ rights was the inner factors to advance the development of specializations. The study analyzed the specialization effects with cost - benefit analysis, adduced the specialization production experiences of one large and synthetically hospital that had carried out the attending responsibility system and discussed the problems that brought by specialization.

关 键 词：专业化 主诊医师负责制 

分 类 号：R197.32[医药卫生—卫生事业管理]