多点执业尴尬遇冷,申请比例不足1%

2017-03-20 医学界智库 医学界智库

虽然国家多次发文助推医师多点执业,但仍避免不了现实遇冷的尴尬。

虽然国家多次发文助推医师多点执业,但仍避免不了现实遇冷的尴尬。

据了解,医生在外兼职的行为,在湖北省内不少公立医院中并不罕见,但真正公开向供职医院和卫生主管部门报备的却并不多。近日,据武汉市卫计委数据显示,目前在该市注册的医师有3万余人,但去年仅有不到300人报备多点执业,比例不足1%。

医师多点执业,一直被视作盘活医疗资源、激发医疗体系活力的关键,但这一政策在多地冷遇。

多点执业多地遇冷

近年来,随着国家政策的不断落地,医师多点执业先后再广东、天津、海南等省份试点。然而,期待已久的多点执业,并没有想象中的那样受医务人员的热捧。想反,不少地方出现了尴尬遇冷的局面。

以武汉为例,据《楚天都市报》报道,目前在该市注册的医师有3万余人,但去年仅有不到300人报备多点执业,比例不足1%。另外,还有部分医生会在各区卫计委报备,但人数较少。比如硚口区卫计委从2010年至今年3月,辖区内仅有9名医生申请多点执业。

无独有偶,与武汉远隔千里的陕西也出现了类似的窘境。根据《陕西日报》今年年初的报道,《陕西省医师多点执业实施意见(试行)》出台近一年,省会西安市仅有一位执业医师进行了注册申请,可谓门庭冷落。

多点执业先后遇冷,问题到底出在哪儿?

医师多点执业是指符合条件的执业医师经卫生行政部门注册后,受聘在两个以上医疗机构执业的行为。根据卫计委的文件精神,医师多点执业有利于均衡各地医疗资源;此外,还有利于提升医生收入。可问题是,“多点执业”政策从2009年开始发布以来,响应者寥寥无几。

医生们面临一些很实际的问题:

1,医生临床工作很多,没有那么多精力接受其他医院的坐诊任务——医生不愿意去。

2,多点执业更多的解放了医生的“自由”,但也造成了医院人力资源的流失——医院不放。

虽然前不久,海南省卫计委主任韩英伟在会上提出,要在全省推进医师区域注册制度落实,并且“不允许院长不同意”,明确要求医疗机构不得阻止医师到其他单位进行执业。但这样的呼声,效果如何?落实到下面,往往很难说。

说到底,多点执业还不是一个“一放了之”的事,而是要有相关配套政策。比如,医生在第二执业地点执业,并签订相应的劳务合同,这与医生在第一执业医院签订的劳动合同,有没有冲突,如何协调其中的利益?说到底,政府部门还需要制订一揽子的详细规则,保证多点执业的顺利推行。

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    2017-04-10 维他命
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    2017-03-22 1e10c84am36(暂无匿称)

    文章很好,值得分享

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1693030, encodeId=29e4169303066, content=<a href='/topic/show?id=655a4e32160' target=_blank style='color:#2F92EE;'>#尴尬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47321, encryptionId=655a4e32160, topicName=尴尬)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b6529322635, createdName=yilong5287552, createdTime=Sun Jul 30 06:55:00 CST 2017, time=2017-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1646154, encodeId=02951646154e9, content=<a href='/topic/show?id=080d5469e79' target=_blank style='color:#2F92EE;'>#执业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54697, encryptionId=080d5469e79, topicName=执业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=95a523305089, createdName=维他命, createdTime=Mon Apr 10 07:55:00 CST 2017, time=2017-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181893, encodeId=51b61818934f, content=文章很好,值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Mar 22 08:31:11 CST 2017, time=2017-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181683, encodeId=7294181683ed, content=其实我们医生内心也想多点执业,只是顾虑太多,压力太大,更何况谁也不想做"第一个吃螃蟹的人",一不小心就得罪领导了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/03/22/9492b0bdd3ebdf662ab1cde6e8473dca.jpg, createdBy=0f261679513, createdName=万里江山一孤舟, createdTime=Tue Mar 21 13:21:21 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181606, encodeId=fdfc181606fb, content=学习了。谢谢了, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e7f41959343, createdName=1e131038m59(暂无匿称), createdTime=Tue Mar 21 08:18:39 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181560, encodeId=9852181560a5, content=路过。。。。。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLEjPHcBWkEawnOHuvuXw3Lxjnzko8jRkakGyVZ27zRcmYACibkCom9Da1icAJBDFrbJelRNtMRic3H3/0, createdBy=152c1940043, createdName=Lke, createdTime=Tue Mar 21 07:19:03 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181531, encodeId=bf9218153100, content=综合因素影响, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bd31668701, createdName=1de07360m07(暂无匿称), createdTime=Tue Mar 21 06:03:04 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181502, encodeId=86cc181502d2, content=不敢申请而己, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Mar 20 23:06:14 CST 2017, time=2017-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181500, encodeId=b90f18150097, content=如何改善僵局, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Mon Mar 20 22:48:03 CST 2017, time=2017-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181495, encodeId=c36d18149580, content=唉, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, createdName=1e1c07bdm01(暂无匿称), createdTime=Mon Mar 20 21:49:22 CST 2017, time=2017-03-20, status=1, ipAttribution=)]
    2017-03-21 万里江山一孤舟

    其实我们医生内心也想多点执业,只是顾虑太多,压力太大,更何况谁也不想做"第一个吃螃蟹的人",一不小心就得罪领导了。

    0

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    2017-03-21 1e131038m59(暂无匿称)

    学习了。谢谢了

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1693030, encodeId=29e4169303066, content=<a href='/topic/show?id=655a4e32160' target=_blank style='color:#2F92EE;'>#尴尬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47321, encryptionId=655a4e32160, topicName=尴尬)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b6529322635, createdName=yilong5287552, createdTime=Sun Jul 30 06:55:00 CST 2017, time=2017-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1646154, encodeId=02951646154e9, content=<a href='/topic/show?id=080d5469e79' target=_blank style='color:#2F92EE;'>#执业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54697, encryptionId=080d5469e79, topicName=执业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=95a523305089, createdName=维他命, createdTime=Mon Apr 10 07:55:00 CST 2017, time=2017-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181893, encodeId=51b61818934f, content=文章很好,值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Mar 22 08:31:11 CST 2017, time=2017-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181683, encodeId=7294181683ed, content=其实我们医生内心也想多点执业,只是顾虑太多,压力太大,更何况谁也不想做"第一个吃螃蟹的人",一不小心就得罪领导了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/03/22/9492b0bdd3ebdf662ab1cde6e8473dca.jpg, createdBy=0f261679513, createdName=万里江山一孤舟, createdTime=Tue Mar 21 13:21:21 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181606, encodeId=fdfc181606fb, content=学习了。谢谢了, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e7f41959343, createdName=1e131038m59(暂无匿称), createdTime=Tue Mar 21 08:18:39 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181560, encodeId=9852181560a5, content=路过。。。。。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLEjPHcBWkEawnOHuvuXw3Lxjnzko8jRkakGyVZ27zRcmYACibkCom9Da1icAJBDFrbJelRNtMRic3H3/0, createdBy=152c1940043, createdName=Lke, createdTime=Tue Mar 21 07:19:03 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181531, encodeId=bf9218153100, content=综合因素影响, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bd31668701, createdName=1de07360m07(暂无匿称), createdTime=Tue Mar 21 06:03:04 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181502, encodeId=86cc181502d2, content=不敢申请而己, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Mar 20 23:06:14 CST 2017, time=2017-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181500, encodeId=b90f18150097, content=如何改善僵局, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=62d381629, createdName=yafeiliutjh, createdTime=Mon Mar 20 22:48:03 CST 2017, time=2017-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=181495, encodeId=c36d18149580, content=唉, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, createdName=1e1c07bdm01(暂无匿称), createdTime=Mon Mar 20 21:49:22 CST 2017, time=2017-03-20, status=1, ipAttribution=)]
    2017-03-21 Lke

    路过。。。。。。。。

    0

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    2017-03-21 1de07360m07(暂无匿称)

    综合因素影响

    0

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    2017-03-20 lovetcm

    不敢申请而己

    0

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    2017-03-20 yafeiliutjh

    如何改善僵局

    0

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