史建平　刘星　张鹏慧　闫琴

[摘要] 目的 了解新疆地区某二甲医院医师对多点执业的认知情况和意愿。方法 采用自编问卷于2018年6月对新疆某二甲医院医师进行问卷调查并分析。结果 71.4%的调查医师赞成多点执业;77.6%的调查医师有多点执业意愿;认为多点执业具有能实现自我价值、提高合理收入等益处，缺乏完善的法律法规和配套措施、缺乏有效监管手段、缺乏明确风险机制等多因素影响多点执业的实施和发展。结论 医师对多点执业的支持度较高，并普遍愿意参与多点执业，针对多点执业影响因素的看法，提出健全相关法律法规、完善配套制度、加强监管等对策建议。

[关键词] 医师多点执业;认知;意愿;三甲医院;新疆

[中图分类号] R19 [文献标识码] A [文章编号] 1672-5654（2019）09（c）-0192-04

[Abstract] Objective To understand the cognition and willingness of physicians in a hospital in Xinjiang to multi-point practice. Methods A self-made questionnaire was used to conduct a questionnaire survey and analysis of a doctor in a hospital in Xinjiang in June 2018. Results 71.4% of the investigators agreed to practice more; 77.6% of the investigators have more willingness to practice; they believe that multi-point practice has the benefits of self-worth and reasonable income， lack of perfect laws and regulations and supporting measures， and lack of effective supervision. Many factors， such as means and lack of clear risk mechanism， affect the implementation and development of multi-point practice. Conclusion Physicians have a high degree of support for multi-point practice， and are generally willing to participate in multi-point practice. Based on the views on the factors affecting multi-point practice， they propose countermeasures such as improving relevant laws and regulations， improving supporting systems， and strengthening supervision.

[Key words] Physicians practice more; Cognitive; Willingness;Armour hospital; Xin jiang

多點执业，是指通过执业医师考试并获得执业证的医务人员，同时注册多个执业地点，且根据注册的执业范围与类别进行相应的执业行为[1-2]。多点执业可以促进医师在不同医疗机构之间的合理流动，使其他医疗机构能够借助大型医院的优质医师资源，提升服务能力，进而提高医疗服务的可及性，并减轻患者经济负担[3-5]。国务院于2009年4月制订并颁发了《关于深化医药卫生体制改革的意见》，当中明确提及：“稳步推动医务人员的合理流动，促进不同医疗机构之间人才的纵向和横向交流，研究探索注册医师多点执业”[6-8]。自此之后，医师多点执业开始进入大众视野，且逐步进入实践，但并未普及，其中的深层次原因值得探讨。……