卫生管理者对医师多点执业认知的调查研究  

Cognitions of Health Administrators on Physicians′ Multi-sited License

作　　者：林凯程[1] 林海波[2] 田柯[2] 耿仁文[1] 李梦茹[1] 

机构地区：[1]南方医科大学南方医院,广东省广州市510515 [2]广东省卫生厅

出　　处：《中国全科医学》2013年第16期1904-1906,共3页Chinese General Practice

基　　金：广东省医学科研基金课题:大型公立医院帮扶基层医疗机构机制创新研究(C2012025)

摘　　要：目的了解卫生管理者对医师多点执业认知情况。方法对广东省10家公立医院管理者以及2所高等医科院校从事卫生政策研究的专家进行问卷调查,了解他们对医师多点执业的态度、意愿、利弊分析以及期望等,分析广东省医师多点执业现状。结果赞成医师多点执业的卫生管理者53人(占44.5%),不赞成的36人(占30.3%),不表态的30人(占25.2%);认为医师多点执业与医师"走穴"的本质是相同的16人(占13.4%),不相同的79人(占66.4%),表示不清楚的24人(占20.2%)。广东省医师多点执业从2010年1月试点开始至2011年10月本课题调研结束,认为其效果比较好的卫生管理者仅2人(占1.7%),一般的51人(占42.9%),差的14人(占11.8%),非常差的6人(占5.0%),表示不清楚的46人(占38.6%);对医师多点执业的前景表示乐观的42人(占35.3%),一般的58人(占48.7%),不乐观的19人(占16.0%)。希望医师的第二执业地点选择在一级医疗机构的41人(占34.4%),二级医疗机构的49人(占41.2%),三级医疗机构的29人(占24.4%)。认为医师多点执业会与其在本院的本职工作相冲突的卫生管理者55人(占46.2%),不会的18人(占15.1%),不好说的46人(38.7%)。结论卫生管理者的支持力度是医师多点执业取得成效的关键;要正确处理好本单位与其他执业医疗机构的关系;建立和完善相关配套政策,提供优惠条件强化正向激励;加强公立医院内部管理,营造尊重人才的文化氛围。Objective To investigate the cognitive condition of health administrators on physicians＇ practice in multi - sites. Methods Questionnaire survey was conducted among administrators from 10 public hospitals in Guangdong province and experts in health policy research from 2 medical high learning institutions to learn their attitudes, willingness, and advantage - disadvantage analysis as well as expectations towards physicians multi - sited license and to analyze the status quo of physicians＇ practice in multi - sites of Guangdong province. Results There were 53 （ 44. 5% ） administrators who assented the physicians＇ practice in multi - sites, 36 （30. 3% ） who did not assent, 30 （25.2%） who did not respond, 16 （ 13.4% ） who believed the nature of the practice was just the same as that of physicians＇ ＂ moonlighting＂, 79 （66. 4% ） who did not believe so, and 24 （20. 2% ） who expressed they had no idea. The efficacy of Physicians＇ Multi -sited License pilot in Guangdong Province, start- ing for January 2010 to October 2011 or the end of the study ended, was considered good only by 2 （ 1.7% ） administrators, just so-so by51 （42.9%）, bad by 14 （11.8%）, quite bad by 6 （5.0%）, and uncertain by46 （38.6%）. As for its pros- pect, 42 （35.3%） had a positive attitude, 58 （48. 7% ） had neutral attitude, and 19 （ 16. 0% ） had negative attitude. To- tally 41 （34. 4% ） hoped that the physicians＇ second practice site was in the first -leveled medical institutions, 49 （41.2%） in the second -leveled, and 29 （24. 4% ） in the third - leveled, totally 55 （46. 2% ） thought the practice could conflict with their own work in original hospitals, 18 （ 15. 1% ） thought it could not, and 46 （38.7%） thought it was uncertain. Conclu- sion The potency of health administrators＇ support is the key to efficacy in performing the multi - sited medical practice. It is necessary to properly handle the relationship of the original hospitals with the others, to p

关 键 词：医师多点执业 卫生管理者 认知 

分 类 号：R197[医药卫生—卫生事业管理]