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山东医师多点执业叫好不叫座 配套措施亟待出台--亲稳网络舆情监控室
2012-09-18
据中国之声《央广新闻》报道,为促进医生人才资源的合理流动,从今年2月10日起,山东开始试点医师多点执业。记者调查发现,有的试点医院要么还没见动静,要么还没有一个医生申请,医师多点执业遭遇“叫好不叫座”的局面。
According to the sound of China[Wide central news]reports,To promote the rational flow of human resources of the doctor,From this year on February 10th up,Shandong began to pilot physicians more practice.Reporter survey found,Some pilot hospitals or haven't see action,Or haven't a doctor application,Physicians more practice experience"Hurrah don't draw"situation.
导致医生多点执业遭遇“叫好不叫座”局面的原因主要有几个方面,首先是一些大型的公立医院医生本身就比较忙,现在光自己本医院的病号都看不完,根本就没有多余时间到别的单位坐诊看病。第二,多点执业本身也给医生带来更多的约束,以前医生出去“走穴”看病基本上看完病或做完手术就直接拿钱走人,这个关系比较简单也比较松散,而现在规定的多点执业对于医生的管理则更加规范,要求医生进行查房坐诊等常规工作。对于原单位的工作本身就很繁重的医生来说,首先在时间上根本不允许,同时医生本身还要考虑和自己本医院的关系,因为这不再是过去那种“走穴”拿钱拉私活的性质,而变成一种比较规范、公开、松散的雇佣关系,自己本单位到底支不支持?是否会影响以后的晋升?这都是一个未知数。山东一位三甲医院的医生跟记者说,自己执业的医院在晋升、申请科研项目,以及退休后的待遇方面,都是非常有优势的,如果因为多点执业而得罪自己医院的话,那是得不偿失的。
Lead to the doctor more practice experience"Hurrah don't draw"The situation is mainly caused by the several aspects,The first is a few large public hospital doctors itself is busy,Now light the hospital patient don't finish,There is no extra time to other units ZuoZhen see a doctor.The second,More practice itself also to the doctor bring more constraint,The doctor went out before"Money imparting knowledge to"The doctor basically finish see disease or finish operation directly take money leave,The relationship is simpler and more loose,And now prescribed more practice for the doctor's management is more standard,Asked the doctor for ward-round ZuoZhen conventional work.For the original unit of the job itself is very hard for the doctor,First in time doesn't allow,At the same time the doctor also consider itself and the relationship between this hospital,Because it is no longer the sort of in the past"Money imparting knowledge to"Take the money and the nature of the SiHuo,And become a more standard/public/Loose employment relationship,The unit exactly branch does not support?Whether can you affect future promotion?This is a unknown.Shandong a 3 armour hospital doctor said to reporter,His practice of hospital in the promotion/Apply for scientific research project,And retirement benefits,All are very advantage,If because more practice and have sinned against his words of hospital,It is of the loss outweights the gain.
不少业内人士认为,多点执业是一个大趋势,确实有利于优质资源下沉到基层,更好的为百姓服务,但是目前国家现在只是鼓励多点执业,对于一些比较具体的,比如说坐诊时间、诊疗范围、薪酬待遇和事故责任的认定都没有给出具体可操作的规定。一位医院的领导表示,开展医师的多点执业,需要政府出台更加细化的相关配套措施、保障措施,而且现在没有现成的成功范本可以参照,所以目前很多医院态度都比较谨慎。(记者王成林)
A lot of the personage inside course of study thinks,More practice is a big trend,Really is helpful to high quality resources sinking to the grassroots,Better for the people service,But at present the country now only encourage more practice,For some more specific,For example ZuoZhen time/Scope of diagnosis and treatment/Remuneration and accident responsibility that are not specific operational provisions.A hospital leaders say,Carry out physicians more practice,Need the government issued more refining of relevant supporting measures/Safeguard measures,And there is no ready-made success template can reference,So at present a lot of hospital attitude are more cautious.(Reporter WangChengLin)
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