史可 孙忠河

[摘要] 由于皮肤科门诊人数逐年上升、新聘医师数量增速缓慢等因素，现阶段我国皮肤病专科医师的总人数明显不足。本研究运用PEST分析模型，分析论证了皮肤病专科医院医师多专业执业的可行性，进一步探讨如何解决多专业执业实施过程中可能存在的法律壁垒及职称晋升等现实问题。建议以皮肤病专科医院为试点，完善专科医院医师执业范围的管理模式，改变对医师执业范围的法律规定，扩宽专科医院医师执业范围，变单一专业为多专业执业，使得一名医师拥有多项技术特长，从而适应社会发展，提升医师临床实践能力，提高就诊资源使用的效率。并为多专业执业在皮肤病医院乃至其他专科医院的推广提供理论依据。

[关键词] 皮肤病；专科医院；多专业执业；执业范围

[中图分类号] R192 [文献标识码] A [文章编号] 1673-7210（2018）04（c）-0154-05

Reform study of multi-professioned license of department of Dermatology specialist

SHI Ke1 SUN Zhonghe2

1.Department of Medical Management， Institute of Dermatology， Chinese Academy of Medical Sciences & Peking Union Medical College， Jiangsu Province， Nanjing 210042， China； 2.Department of Youth League Committee， Nanjing First Hospital， Affiliated to Nanjing Medical University， Jiangsu Province， Nanjing 210006， China

[Abstract] The number of patients from dermatology outpatient increases year by year and newly-recruited doctors rises slowly， the total number of dermatology outpatient doctors is obviously smaller. The PEST analysis model is used in this article to demonstrate the feasibility of multi-professioned lisence of department of dermatology specialists， analyze and break the law barrier and problem of promotion during the multi-professioned lisence in the department of dermatology specialist. The skin specialist hospital is taken as the pilot project to improve the management model of specialists scope of practice， change the laws of and broaden the practicing scope，which can change the single into multi-profession and make doctors equipped with many kinds of special skills to adjust themselves to the social development， promote their clinical practice ability and strengthen the efficiency of using medical resource. It also provides theoretical basis for the promotion of professional practice in dermatology hospitals and other specialized hospitals.

[Key words] Dermatosis； Scope of practice； Specialist hospital； Multi-professioned license

《中華人民共和国执业医师法》（简称《执业医师法》）于1999年5月1日起施行，随后医师执业管理相关法律法规相继出台，如《医师资格考试暂行办法》、《医师定期考核管理办法》、《医师执业注册暂行办法》等。随着时代的发展，医师执业管理的内容也随之丰富。2017年4月1日起施行的《医师执业注册管理办法》，通过建立电子注册制度、区域注册制度、注册信息公开和查询等制度，加强了医师执业注册管理，提高了医疗服务质量，提升了医疗服务效率，满足了人民群众多层次、多样化的健康需求，为打造健康中国提供了有力支撑[1]。

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