发达国家和地区医师多点执业政策与我国的实践研究
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摘要
医师多点执业经过近30年的发展,已经呈现出规范化、科学化趋势,但因主客观因素依然存在一些问题。作者从对医师多点执业的界定出发,在相关文献和典型案例研究的基础上,对医师多点执业现状、国外和港台地区医师多点执业的管理现状和制度安排展开了梳理和分析,结合新时代的特征思考对医师多点执业的借鉴意义,助推医师多点执业不断走向规范化、科学化。
After 30 years development, physicians' multi-practice has gradually presented a normative and scientific trend. However, due to subjective and objective factors, but there are still some problems. Beginning with the definition of multi-practice physicians, this article analyzes the current status of domestic physicians' multi-practice, as well as the current management system and regulations of multi-practice physicians in foreign countries and areas such as Hong Kong, Taiwan China on the base of relevant literature and typical case studies. Combing and analyzing, combining the features of the new era, this article can also be used as reference for doctors in China for practicing multi-practice medicine, which will help push forward the practice of multi-point physicians in China to standardization and science.
After 30 years development, physicians' multi-practice has gradually presented a normative and scientific trend. However, due to subjective and objective factors, but there are still some problems. Beginning with the definition of multi-practice physicians, this article analyzes the current status of domestic physicians' multi-practice, as well as the current management system and regulations of multi-practice physicians in foreign countries and areas such as Hong Kong, Taiwan China on the base of relevant literature and typical case studies. Combing and analyzing, combining the features of the new era, this article can also be used as reference for doctors in China for practicing multi-practice medicine, which will help push forward the practice of multi-point physicians in China to standardization and science.
引文
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[12]Karolina S,Mickael B.The relationship between dual practice and physicians’work behaviour in the public hospitals:Results from the Danish survey[R].Institute of Public Health-Health Economics.University of Southern Denmark,January 2011.
[13]Danish Patient Safety Authority.The national agency for patients'rights and complaints[EB/OL].(2015-06-20)[2019-02-28].http://www.patientombuddet.dk/Love_og_regler.aspx.
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[16]王庆文,李和辉.医师多点执业政策执行的影响因素[J].重庆医学,2011,40(16):1651-1652.
[2]Medical Council of Canada.The MCCand the route to licensure[EB/OL].(2015-06-20)[2019-02-28].http://mcc.ca/about/mcc-androute-to-licensure/.
[3]Morris L.Hospital Financing in Seven Countries[M].Washington,DC:U.S.Government Printing Office,1995.
[4]Stephen M.Analysis of consultants’NHS and private incomes in England in2003/4[J].Journal of the Royal Society of Medicine,2008,101(7):372-80.
[5]左妍.民生调查-医生多点执业各国模式参考[EB/OL].(2017-12-17)[2019-02-28].http://newsxmwb.xinmin.cn/shenti/2017/12/17/31343108.html.
[6]The Department of Health.A code of conduct for private practice[EB/OL].(2004-01-10)[2019-02-28].https://docplayer.net/33079937-A-code-of-conduct-forprivate-practice-recommended-standards-ofpractice-for-nhs-consultants.html.
[7]Queensland Government.Supplementary benefit/right to private practice benefits options-senior medical officers-specialists human resources policy[EB/OL].(2012-09-20)[2019-02-28].http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.416.3695&rep=r ep1&type=pdf.
[8]Healthcare in Sweden.Sweden's Medical Responsibility Board[EB/OL].(2010-10-08)[2019-02-28].https://sweden.se/society/health-care-in-sweden/.
[9]Doupi P,Renko E,Giest S,et al.Country Brief:Sweden Telemedicine[EB/OL].(2010-10-12)[2019-02-28].http://www.ehealthstrategies.eu/database/documents/Sweden_Country Brief_e HStrategies.pdf.
[10]Signild V,Allan K,Karsten V,et al.Health care system in transition[EB/OL].(2002-06-12)[2019-02-28].http://www.euro.who.int/__data/assets/pdf_file/0007/98836/DENsum110802.pdf.
[11]Karolina S.Physician dual practice and the public health care provision[EB/OL].(2010-04-12)[2019-02-28].https://www.researchgate.net/publication/301560863_Physician_dual_practice_and_the_public_health_care_provision_Extended_literature_review.
[12]Karolina S,Mickael B.The relationship between dual practice and physicians’work behaviour in the public hospitals:Results from the Danish survey[R].Institute of Public Health-Health Economics.University of Southern Denmark,January 2011.
[13]Danish Patient Safety Authority.The national agency for patients'rights and complaints[EB/OL].(2015-06-20)[2019-02-28].http://www.patientombuddet.dk/Love_og_regler.aspx.
[14]中国新闻网.医疗改革:在职医生开诊所要过几道关?[EB/OL].(2014-02-26)[2019-02-28].http://www.chinanews.com/jk/z/jiankangyueduguancha/.
[15]李缘.香港的诊所[EB/OL].(2014-08-29)[2019-02-28].http://finance.sina.com.cn/roll/20140829/235120165238.shtml.
[16]王庆文,李和辉.医师多点执业政策执行的影响因素[J].重庆医学,2011,40(16):1651-1652.