中国医生职称制度存在的问题及其改革设计  

The Limitations of Chinese Physicians' title System and Its Institutional Design

作　　者：沈群红[1] 曹英男[2] 张宇成[3] 饶克勤[4] 刘远立[2] 

机构地区：[1]清华大学公共管理学院,北京100084 [2]北京协和医学院公共卫生学院,北京100730 [3]中国协和医科大学8年制临床班,北京100730 [4]中华医学会,北京100710

出　　处：《医学与社会》2015年第11期43-45,51,共4页Medicine and Society

基　　金：国家卫生和计划生育委员会委托课题“建立中国医疗行业科学有效的激励与约束机制研究”;国民健康社会风险预警协同创新中心资助研究

摘　　要：现行的中国医生职称制度存在用行政性评定和人员管理办法替代专业评价和单位评聘、缺乏科学基础等问题,在一定程度上成为影响医疗服务体系效率与公平性的制度性障碍。改进该制度的关键是建立科学规范的职务体系,建立行业性的医生能力评鉴和晋等制度以及生涯管理制度,并在医疗服务的价值逐渐回归与实现的过程中,与薪酬制度的改革等共同构成对医生有效激励的系统组合。The current physicians＇ title system is going through the transfer from Administrative personnel control mode to industry - wide doctor practicing ability evaluation system. The current physicians＇ title is facing challenges, namely dominant by the administrative assessment, rather than the professional evaluation and a lack of the scientific standard for the physician assessment, which has been regarded as the main obstacle for the fair and effective allocation of the medical service resources. The new physician competence evaluation should be based on the job evaluation system for physician and establish the doctoral qualification system which is organized by the professional association and other social organizations, covering the competency evaluation and the career development and management. This kind of evaluation system, combined with salary system, will be effectively incentive to physicians along with the right evaluation the medical service.

关 键 词：医生 职称制度 能力评鉴 

分 类 号：R197.32[医药卫生—卫生事业管理]