广东推出“基层医责险”能助力医生多点执业吗?

2017-07-21 佚名 医学界智库

医生多点执业已经不是新鲜话题,但是医生在多点执业过程中的风险却一直没有得到解决。

近日,广东省家庭医生协会与中国人保财险共同推出面向小医院、个人诊所等基层医疗机构的医疗责任险,引起各方关注。

据《羊城晚报》报道,该保险面对的基层医疗机构包括:

公办和民营性质的小型机构,旨在提升社区卫生服务中心、村卫生站、镇卫生院、个体诊所、合伙人全科诊所等基层小医疗机构。收费标准仅为每年2500元/间、500元/人的保费。

此外,该医责险除了提供医疗责任、法律费用和精神损害赔偿责任等三种保障外,还附加了医务人员遭受伤害责任、医疗机构场所责任、外请医务人员医疗责任等保险条款。

有业内人士认为:广东推出个人诊所医疗责任险,无疑为医生多点执业装上“助推器”。医生们再也不用担心到社区执业会因诊疗事故赔得倾家荡产。

医生多点执业已经不是新鲜话题,但是医生在多点执业过程中的风险却一直没有得到解决。

医生多点执业的三大保险难题

1、多点执业保险对象变更繁琐

2014年11月5日,国家卫生计生委、国家发展改革委、人力资源社会保障部、国家中医药管理局、中国保监会联合下发《关于推进和规范医师多点执业的若干意见》,明确规定:

医师多点执业过程中发生医疗损害或纠纷,应当由发生医疗损害或纠纷的当事医疗机构和医师按照有关法律法规处理,其他非当事医疗机构均不承担相关的医疗损害或纠纷处理责任。

事实上,医生如果只是临时执业,高额的保费成本、申请变更医保对象、繁琐的程序会增加医疗机构的运营成本,“裸奔”也让医生惴惴不安,顶着“出事就得赔地倾家荡产”的雷,对多点执业踟蹰不前。

2、保险公司热情不高

深圳第一健康医疗管理有限公司总裁杨帆在保险行业耕耘多年,分析认为:首先,医疗不是一个交易关系,医疗的风险较难把控。与交通责任险不同,医疗责任险的定性非常难,认定责任的成本也比较高。其次,目前,医疗责任险市场还不够成熟,如果没有全面推广,保险公司可能会赔钱。如果购买医疗责任险的医疗机构数量少,保险公司精算后可能赔钱,他们就不愿意做。如果达到均衡或者盈利,必然要上涨医疗机构的保费,而医疗机构必然抵触。

360国际医疗网创始人钱伟志则表示:为医生个人单独投保的医师个人多点责任险,风险不易把控,所以,几乎所有保险公司都回避开发医生个人多点执业责任险。

3、公立医院保费负担重

对很多院长而言,医生多点执业在一定程度上也增加了负担,因为医生的培训、晋升、科研申请、住房等很多福利都与之捆绑,当医生选择多点执业时必然有一部分的精力被分散,而第二执业点却只收益了医生多点执业的好处,带来患者流,却没有尽到相应的责任。

深圳某三甲医院的医务科科长曾算过一笔账:依据营业年收入核算,该院每年要缴纳近500万元保费,但实际上,医院每年用于医疗责任事故的理赔的金额不足100万,“为什么要做这个亏本生意?”

大咖们怎么看?

广东省卫计委原巡视员廖新波表示:“在国外,无论医疗机构多大、多小,无保险,不敢开业、不敢行医。”保险转移了赔付风险,但更要求提升医疗质量、医者责任心,因为相当于医生要珍惜自己的品牌、口碑,否则连保障行医的医责险都买不到。

“要防范医疗风险,在正确认识医疗风险,规范医疗行为,加强医学伦理教育和增强法律观念,建立和健全相关制度的同时,还要购买医疗责任险,将医疗风险进行转移。”广东省家庭医生协会会长张寿生表示。

“在过去,基层医疗机构尤其是像私人诊所这样的机构缺乏医疗责任险,这让基层医生在诊疗行为中如履薄冰,诊疗能力大打折扣,也让医院内的医生不敢走出来开诊所或是到基层医疗机构执业,制约了我国基础医疗服务体系的发展。”广东省家庭医生协会常务副会长吴育雄说。

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    2017-11-28 docwu2019
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    2017-07-23 1e17414fm02(暂无匿称)

    学习

    0

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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3wrgsNyr5lh6N2MY5xSnbvo4g5sRlc3MZoDdWpMeSdozUCPNhA96wndwQe3X5Z5oYMNxVUdOib63nw/0, createdBy=d8d11998754, createdName=Julie W, createdTime=Sat Jul 22 10:28:21 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225017, encodeId=3d4122501ece, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Sat Jul 22 09:52:56 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224988, encodeId=1aef22498817, content=多干活风险更大, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Jul 22 07:22:44 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224911, encodeId=d7f22249119d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jul 22 07:19:54 CST 2017, time=2017-07-22, status=1, ipAttribution=), 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    2017-07-23 158****0290

    学习了

    0

  4. 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Jul 22 07:22:44 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224911, encodeId=d7f22249119d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jul 22 07:19:54 CST 2017, time=2017-07-22, status=1, ipAttribution=), 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    2017-07-22 Julie W

    近日,广东省家庭医生协会与中国人保财险共同推出面向小医院、个人诊所等基层医疗机构的医疗责任险,引起各方关注。

    0

  5. 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Jul 22 07:22:44 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224911, encodeId=d7f22249119d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jul 22 07:19:54 CST 2017, time=2017-07-22, status=1, ipAttribution=), 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    2017-07-22 1e17414fm02(暂无匿称)

    学习

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3wrgsNyr5lh6N2MY5xSnbvo4g5sRlc3MZoDdWpMeSdozUCPNhA96wndwQe3X5Z5oYMNxVUdOib63nw/0, createdBy=d8d11998754, createdName=Julie W, createdTime=Sat Jul 22 10:28:21 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225017, encodeId=3d4122501ece, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Sat Jul 22 09:52:56 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224988, encodeId=1aef22498817, content=多干活风险更大, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/05/25/aee510ed68ce4736e9fe4ec7d03c01b1.jpg, createdBy=ce892064652, createdName=楠博One, createdTime=Sat Jul 22 09:08:17 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224921, encodeId=968a22492100, content=路过。。。。。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLEjPHcBWkEawnOHuvuXw3Lxjnzko8jRkakGyVZ27zRcmYACibkCom9Da1icAJBDFrbJelRNtMRic3H3/0, createdBy=152c1940043, createdName=Lke, createdTime=Sat Jul 22 07:24:23 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224919, encodeId=c26622491911, content=加强基层工作, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Jul 22 07:22:44 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224911, encodeId=d7f22249119d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jul 22 07:19:54 CST 2017, time=2017-07-22, status=1, ipAttribution=), 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    2017-07-22 楠博One

    多干活风险更大

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3wrgsNyr5lh6N2MY5xSnbvo4g5sRlc3MZoDdWpMeSdozUCPNhA96wndwQe3X5Z5oYMNxVUdOib63nw/0, createdBy=d8d11998754, createdName=Julie W, createdTime=Sat Jul 22 10:28:21 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225017, encodeId=3d4122501ece, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Sat Jul 22 09:52:56 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224988, encodeId=1aef22498817, content=多干活风险更大, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Jul 22 07:22:44 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224911, encodeId=d7f22249119d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jul 22 07:19:54 CST 2017, time=2017-07-22, status=1, ipAttribution=), 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    2017-07-22 Lke

    路过。。。。。。。。

    0

  8. 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Jul 22 07:22:44 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224911, encodeId=d7f22249119d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jul 22 07:19:54 CST 2017, time=2017-07-22, status=1, ipAttribution=), 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    2017-07-22 深海的鱼

    加强基层工作

    0

  9. 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Jul 22 07:22:44 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224911, encodeId=d7f22249119d, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jul 22 07:19:54 CST 2017, time=2017-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224886, encodeId=9ba322488607, content=有一定的帮助,效果一般, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Sat Jul 22 06:43:17 CST 2017, time=2017-07-22, status=1, ipAttribution=)]
    2017-07-22 明月清辉

    谢谢分享,学习了

    0

  10. 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    2017-07-22 1391e9f2a7m

    有一定的帮助,效果一般

    0

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