我国医生兼职行为的法律风险与应对策略  

Legal Risks and Strategies to Part-time Work by Chinese Physicians

作　　者：陆佳琳 孟竹 阚凯 LU Jialin(College of Humanities and Social Sciences,Dalian Medical University,Dalian,Liaoning,116000,China)

机构地区：[1]大连医科大学人文与社会科学学院,辽宁大连116000

出　　处：《医学与社会》2024年第9期122-129,共8页Medicine and Society

基　　金：国家社会科学基金资助项目,编号为23CFX022;四川医事卫生法治研究中心青年项目,编号为YF23-Q11;2022年辽宁省普通高校基本科研项目,编号为LNKQR20222543;辽宁省社科规划基金青年项目,编号为L15CFX001。

摘　　要：医生兼职行为按照专业相关度可分为专业核心类、专业衍生类和专业无关类,所面临的法律风险各有不同。专业核心类兼职行为的法律风险为多点执业中医疗损害责任划分不明、不当竞争加剧、互联网诊疗的合规性存疑;专业衍生类兼职行为的法律风险为在移动医疗平台以诊断代替咨询风险、职务创造和委托创造的知识产权归属以及使用约定不明、患者隐私易遭泄漏。法律风险应对方面,针对专业核心类兼职行为应当进一步细化法律规范,对专业衍生类兼职行为应重点填补制度空白。随着医药卫生体制改革的推进,应当建立、健全医生兼职行为相关法律规范,探索推动我国医生兼职行为政策落实的发力点。Part-time work by physicians can be categorized based on professional relevance into core professional,derivative professional,and non-professional types,each facing different legal risks.Core professional part-time work involves legal risks such as unclear liability division in multi-site practice,intensified unfair competition,and questionable compliance of internet diagnosis and treatment.Derivative professional part-time work entails risks including the replacement of consultations with diagnoses on mobile medical platforms,unclear intellectual property rights of work created during employment or on commission,and potential patient privacy breaches.To address these legal risks,it is necessary to further refine legal regulations for core professional part-time work and to fill regulatory gaps for derivative professional part-time work.With the advancement of healthcare system reforms,it is crucial to establish and improve relevant legal regulations for physicians'part-time work and to explore key points for the implementation of physician part-time work policies in China.

关 键 词：卫生法 医生 兼职行为 多点执业 互联网诊疗 

分 类 号：R-05[医药卫生] R19-019