医师多点执业现状分析及对策研究  

Study on the status and countermeasures in physician multiple-site practices

作　　者：郑逸飞[1] 严娟[1] 宋宁宏[1] 王晓东[2] Zheng Yifei;Yan Juan;Song Ninghong;Wang Xiaodong(Medical Department,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Human Resources Office,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院医务处,江苏南京210029 [2]南京医科大学第一附属医院人事处,江苏南京210029

出　　处：《南京医科大学学报（社会科学版）》2019年第6期469-471,共3页Journal of Nanjing Medical University（Social Sciences）

摘　　要：通过对江苏省8家公立医院117名医师及38名医院管理者进行问卷调查和管理者深度访谈,了解现有政策制度下医师及医院管理者对多点执业的认知和意愿,分析其认知情况及意愿影响因素。结果显示,大多数医师及医院管理者对多点执业持观望态度,多点执业推行受阻的主要原因是医疗责任界定和风险承担机制不明确,打破固定用工关系影响了主要执业机构医疗和管理秩序等。现有政策下,应完善法律法规及配套制度,探索切实可行的多点执业模式。This study was conducted a questionnaire and depth interview in 117 physicians and 38 hospital managers in 8 public hospitals in Jiangsu province.It investigated the cognition and willingness to physician multiple site practices and influence factors.The results showed that most of doctors and administrators are on the fence about it.The main reasons were the unclear mechanism of medical liability definition and risk taking.The fixed employment relationship was broken and it influenced the administration order of the mainstream medical practice institutions.Under the current policies,laws,regulations and supporting systems should be improved to explore a feasible practice mode.

关 键 词：多点执业 区域 注册困境 

分 类 号：R192.3[医药卫生—卫生事业管理]