关于推进泸州市医师多点执业制度运行的思考  被引量:3

Reflection on the Smooth Operation of Doctor's Multi-sited License System in Luzhou

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作  者:王琼[1] 孙雪[1] 魏洋[2] 王仕凤 

机构地区:[1]泸州医学院公共卫生学院 [2]泸州医学院

出  处:《医学与法学》2013年第6期31-34,共4页Medicine and Jurisprudence

基  金:四川省泸州市社科联科研课题"泸州市建立医师多点执业制度的探索研究"(课题编号:YF11-Q14);2013年地方高校国家级大学生创新创业训练计划项目"四川省推进医师多点执业制度运行的探索研究"(课题编号:201310632008)的阶段性成果

摘  要:本文围绕医生多点执业制度的相关问题对四川省泸州市医疗机构人员进行了问卷调查。从调查情况看,多数被调查者都支持实施该制度,但目前推行该制度尚存在以下四方面的障碍:一是医生与其工作单位之间存在着比较严重的人身依附关系,医生与单位之间固定的用工关系难以打破;二是实行医生多点执业后,如何合理地规定医生执业机构数与执业机构级别,以及如何认定可以开展多点执业的医生的资格;三是各方利益的冲突难以解决;四是医生多点执业后医疗风险分担机制以及监管制度的建立。以此调查结果为基础,提出以下五方面的建议:一是建立完善的医疗领域人才市场体系;二是确立医师多点执业的机构数量、职业职称、职业区域;三是平衡各方利益;四是可借鉴采取"团队多地点执业"模式减少医疗风险;五是完善医生监管制度,保障医疗质量。Through questionnaire survey on related problems of doctor's multi-sited license system among the medical institution staff in Luzhou, Sichuan, the majority of respondents supported the implementation of the system, but currently the main obstacle in the implementation of the system comes from the following four aspects: 1. The doctors have a serious personal dependence on their work units, and it is difficult to break the fixed labor re- lationship between doctors and their work units; 2. After the implementation of doctor's multi-sited license system, how should we reasonably require the number and level of practicing institutions, and qualify the multi-sited practicing doctors; 3. Conflict resolution of interested license system, we should set up medical risk sharing following five suggestions are put forward: 1. Establish parties; 4. After the implementation of doctor's multi-sited mechanism and regulatory system. Based on this survey, the perfect talent market system in medicine field; 2. Establish the institution number, professional title and practicing area for multi-sited practicing doctors; 3. Balance the in- terests of all parties; 4. Reduce medical risks by referring to the mode of "team multi-sited practicing"; 5. Improve the system of doctor regulation, and guarantee medical quality.

关 键 词:医师多点执业 制度运行 

分 类 号:R197.1[医药卫生—卫生事业管理]

 

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