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江苏卫生事业管理:2020,Vol.>>Issue(5):572-575
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某市三甲综合医院医师多点执业现状研究△
田文柱,李宝玉,朱滨海*
(南京医科大学医政学院,连云港市第一人民医院医务部;南京医科大学医政学院,南京医科大学第一附属医院教育处)
Study on the current situation of multi-site practice in a certain Grade-A Tertiary general Hospital△
TIAN Wenzhu,LI Baoyu,ZHU Binhai*
(The School of Health Policy and Management,Nanjing Medical University,Medical Department,The First People’s Hospital of Lianyungang;The School of Health Policy and Management,Nanjing Medical University,Education Department,The First Affiliated Hospital of Nanjing Medical University)
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中文摘要: 目的:研究影响医师多点执业政策有效实施的因素,提出促进政策执行的建议。方法:以连云港市两家三甲综合医院的医师为研究对象,采用问卷调查法研究政策目标群体对政策的认知,对调查结果进行统计分析。结果:医师多点执业政策的实施,卫生行政主管部门认为增加了其监管难度,第一执业机构认为容易导致人才与技术流失,医生认为多点执业面临医疗风险,患者就医更倾向于大型公立医院。结论:应淡化公立医院编制管理,实施合同聘用管理;完善医师多点执业的相关政策配套;鼓励医师以合作形式参与多点执业;卫生行政主管部门应加强对医师及医疗机构的监管与考核。
Abstract:Objective:To study the factors influencing the effective implementation of the multi-point practice policy for doctors and put forward some Suggestions to promote the implementation of the policy. Methods:There were two Grade-A Tertiary general Hospitals in Lianyungang which selected as research targets.The cognition of policy target groups was studied by questionnaire survey,and the results were analyzed statistically. Results:The implementation of the policy of multi-site practices of doctors was considered by the health administration department as increasing the difficulty of supervision,the first practice institution as leading to the loss of talents and technology,the doctors as facing medical risks,and the patients were more inclined to seek medical treatment in large public hospitals. Conclusion:The establishment management of public hospitals should be weakened,and the management of contract employment should be implemented. It is necessary to improve the supporting policies of multi-site medical practices. Encourage doctors to participate in multi-site practices in the form of cooperation. Health administrative departments should strengthen the supervision and examination of doctors and medical institutions.
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基金项目:江苏省社会科学基金重点项目(16ZHA002) 江苏省社会科学基金重点项目(16ZHA002)
引用文本:
田文柱,李宝玉,朱滨海*.某市三甲综合医院医师多点执业现状研究△[J].江苏卫生事业管理,2020,31(5):572-575.
TIAN Wenzhu,LI Baoyu,ZHU Binhai*.Study on the current situation of multi-site practice in a certain Grade-A Tertiary general Hospital△[J].Jiangsu Health System Management,2020,31(5):572-575.

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