| 我国新医改下全科医生多点执业的现况与思考 |
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| 引用本文： | 赵睿,刘峰,朱坤. 我国新医改下全科医生多点执业的现况与思考[J]. 中华全科医学, 2017, 15(10): 1759-1762. DOI: 10.16766/j.cnki.issn.1674-4152.2017.10.036 |
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| 作者姓名： | 赵睿 刘峰 朱坤 |
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| 作者单位： | 1. 蚌埠医学院全科医学系, 安徽 蚌埠 233030; |
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| 基金项目： | 安徽省卫生计生委科研计划项目 (2016AHQK084) |
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| 摘 要： | 目的 为推进全科医生的合理流动,促进全科医生多点执业的实施,提出完善全科医生多点执业工作的建议和对策。 方法 本文通过对比国内外全科医生执业制度,并运用SWOT (优势:strengths;劣势:weaknesses;机会:opportunities;威胁:threats)分析法,对我国新医改下实施全科医生多点执业的优势、劣势、机会和威胁进行分析探讨,然后针对性的制定相应对策。 结果 国外大部分全科医生都可以进行自由执业,并且可以进行多点执业。多数发达国家和地区全科医生的雇佣关系是以自雇为主,我国全科医生多为事业单位雇员。全科医生多点执业的优势主要在于其可促进全科医生的合理流动,能充分调动全科医生的积极性,并有利于提升基层医院的发展和管理能力;全科医生多点执业的劣势主要是人力匮乏难支撑,医疗风险无保障和配套制度不完善。通过分析,在克服劣势、把握机会、回避威胁的基础上对全科医生多点执业的发展提出应对策略。 结论 通过SWOT分析法的科学分析,全科医生多点执业的优势劣势并存,建立促进全科医生多点执业的法律和制度环境,加强医院内部管理,改革医疗机构人事分配制度,消除医疗体制内的各种资源配置的不平衡,从而有效的调动全科医生多点执业的优势力量,抓住机遇,使新医改下全科医生多点执业取得显著成果。
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| 关 键 词： | 新医改 全科医生 多点执业 SWOT分析 |
| 收稿时间： | 2017-03-01 |
Current situation and thinking of general practitioners' multi-sited practice under the new medical reform in China |
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| Affiliation: | Department of General Practice, Bengbu Medical College, Bengbu, Anhui 233030, Chin |
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| Abstract: | Objective In order to promote the rational flow of general practitioners(GP) and advance the implementation of multi-sited practice,this paper aims to put forward some suggestions and countermeasures for improving the GP multi-sited practice. Methods Based on the SWOT(strengths;weaknesses;opportunities;threats) analysis method and comparison of domestic and foreign general practitioner practice systems,this paper analyzes the advantages,disadvantages,opportunities and threats of GP multi-sited practice under the new medical reform in China,and then formulates corresponding countermeasures. Results Most of the foreign GP can be free to practice and multi-sited practice.In most developed countries and regions,the employment of GP is mainly based on self employment.GP in China are mostly employees of public institutions.The main advantages of the implementation of GP multi-sited practice are that it can better promote the rational flow of general practitioners,to fully mobilize the enthusiasm of general practitioners and help improve the development and management ability of primary hospital.The disadvantages of the implementation of GP multi-sited practice includes the lack of manpower which makes it hard to sustain and no medical risk guarantee and perfect supporting system.On the basis of overcoming the disadvantages,grasping the opportunity and avoiding the threat by analysis,the article puts forward some countermeasures for the development of GP multi-sited practice. Conclusion By means of SWOT scientific analysis,GP multi-sited practice advantages and disadvantages coexist.Establish a legal and institutional environment for GP multi-sited practice,strengthen hospital internal management,reform the personnel distribution system in medical institutions,and eliminate all kinds of medical resources allocation imbalance within the system,so as to effectively mobilize the GP's advantages of multi-sited practice,seize the opportunity and achieve remarkable results in GP multi-sited practice under the new medical reform. |
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