分级诊疗视域下的医联体内医师资源配置影响因素及策略
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摘要
目的:探索医联体内医师合理有序流动,实现医师人力资源共享,提高医联体运营效率。方法:对海南省8家医院的执业医师随机抽样进行问卷调查。结果:医师对多点执业认可度较高,工作繁忙、卫生人事制度、医疗风险担当机制、法律法规不够完善等因素是阻碍医师开展多点执业的主要原因。结论:加快医疗联合体体系建设,引导患者有序就医,完善相关法律法规,构建责任承担体系,引入商业保险模式,促进医师合理有序流动和人才共享。
Objective By exploring the rational and orderly flow of physicians in the medical consortium,to promote the sharing of physicians' human resources and improve the operating efficiency of the medical consortium. Methods Medical practitioners from 8 hospitals in the Hainan province were randomly selected for questionnaire survey. Results Doctors' high recognition of multi-site practice,physicians have higher recognition to multi-site practice,busy work,health personnel system,healthcare risk sharing system and inadequate existing laws and regulations are the main reasons of hinder doctors from carrying out multi-site practice. Conclusion Speed up the construction of the medical consortium system,guide patients to seek medical treatment in an orderly manner,improve relevant laws and regulations,build a responsibility bearing system,and introduce commercial insurance mode,promote the rational and orderly flow of physicians and the sharing of talents.
Objective By exploring the rational and orderly flow of physicians in the medical consortium,to promote the sharing of physicians' human resources and improve the operating efficiency of the medical consortium. Methods Medical practitioners from 8 hospitals in the Hainan province were randomly selected for questionnaire survey. Results Doctors' high recognition of multi-site practice,physicians have higher recognition to multi-site practice,busy work,health personnel system,healthcare risk sharing system and inadequate existing laws and regulations are the main reasons of hinder doctors from carrying out multi-site practice. Conclusion Speed up the construction of the medical consortium system,guide patients to seek medical treatment in an orderly manner,improve relevant laws and regulations,build a responsibility bearing system,and introduce commercial insurance mode,promote the rational and orderly flow of physicians and the sharing of talents.
引文
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[3] 魏士轩,张新平,李强,等.第一执业点视角下的医师多点执业风险防范[J].医学与社会,2017,30(10):38-40.
[4] 贺哲,纪磊,冯占春.武汉市三级甲等医院医师多点执业意向调查[J].中国社会医学杂志,2018,35(05):526-529.
[5] 惠文,李明,吴曦,等.我国医师多点执业政策实施的制度性约束分析[J].中国医院管理,2018,38(03):4-7.
[6] 黄辉华,余昌胤,喻田,等.医生视角下医师多点执业问题及对策研究——基于扎根理论[J].中国卫生政策研究,2018,11(01):42-47.
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[10] 周琳,殷群,连斌.医师多点执业国内外发展状况比较研究[J].中国卫生质量管理,2014,21(01):54-56.
[11] 钟三宇,范亲敏.分级诊疗视域下医师多点执业制度完善的思考[J].西南石油大学学报(社会科学版),2016,9,18(5):24-29).
[12] 陈文二.越南河内市公立医院医学人才流动问题及对策研究[D].广西民族大学,2015.
[13] 刘颖,“两个允许”背景下公立医院薪酬体系建设研究[J].卫生经济研究,2018(10):63-66
[14] 许兴龙,周绿林,陈羲.“互联网+”背景下医疗服务体系整合研究[J].中国卫生事业管理,2018,35(02):105-108.
[15] 肖斌,陆晓林.基于“互联网+”的新型医联体建设分析[J].山东社会科学,2016(S1):241-242.
[2] 胡善联.医师多点执业的政策障碍与可行路径[J].中国卫生政策研究,2014,7(1):5-7.
[3] 魏士轩,张新平,李强,等.第一执业点视角下的医师多点执业风险防范[J].医学与社会,2017,30(10):38-40.
[4] 贺哲,纪磊,冯占春.武汉市三级甲等医院医师多点执业意向调查[J].中国社会医学杂志,2018,35(05):526-529.
[5] 惠文,李明,吴曦,等.我国医师多点执业政策实施的制度性约束分析[J].中国医院管理,2018,38(03):4-7.
[6] 黄辉华,余昌胤,喻田,等.医生视角下医师多点执业问题及对策研究——基于扎根理论[J].中国卫生政策研究,2018,11(01):42-47.
[7] 肖云芳,杨小丽.我国分级诊疗的实施困境及对策建议[J].医学争鸣,2017,8(05):49-52.
[8] 钟三宇,范亲敏.分级诊疗视域下医师多点执业制度完善的思考[J].西南石油大学学报(社会科学版),2016,18(05):24-29.
[9] 董大宁.我国医师多点执业的现状、存在问题及对策研究[D].苏州大学,2016.
[10] 周琳,殷群,连斌.医师多点执业国内外发展状况比较研究[J].中国卫生质量管理,2014,21(01):54-56.
[11] 钟三宇,范亲敏.分级诊疗视域下医师多点执业制度完善的思考[J].西南石油大学学报(社会科学版),2016,9,18(5):24-29).
[12] 陈文二.越南河内市公立医院医学人才流动问题及对策研究[D].广西民族大学,2015.
[13] 刘颖,“两个允许”背景下公立医院薪酬体系建设研究[J].卫生经济研究,2018(10):63-66
[14] 许兴龙,周绿林,陈羲.“互联网+”背景下医疗服务体系整合研究[J].中国卫生事业管理,2018,35(02):105-108.
[15] 肖斌,陆晓林.基于“互联网+”的新型医联体建设分析[J].山东社会科学,2016(S1):241-242.