医师多点执业的政策障碍与可行路径

本文讨论了医师多点执业的内涵、该政策实行受阻的原因及对策。目前，我国公立医院的医师是“单位人”，而不是“自由执业者”，医院与医师均缺乏多点执业的动力，需要从立法、制度和政策三个方面来保障医师多点执业。大力发展私立医院、改善医师自由执业的条件是促进医师多点执业的重要前提。该政策的实行需要政府多部门和广大医师的参与，需要通过试点和实践检验做出循证决策。

Multiple-site physician practice in China: Policy barriers and feasible path

The paper discusses the contents of multiple-site physician practice, barriers, and ways to overcome difficulties. In China, a doctor in a public hospital belongs to the hospital. To some extent, they are not free professionals. Both hospitals (employer) and doctors (employee) lack the power to practise freely. In this paper, we suggest that multiple-site physician practice needs to be supported by legislation, institutions, and policies. The prerequisite is to vigorously develop private hospitals and improve conditions of multiple-site physician practice. Implementation of the policy requires a multiple-sector approach and the involvement of the majority of doctors. Evidence-based policy making is not possible unless it is done through pilot studies and practical experiment.