Research On The Present Problems, Causes And Countermeasures About Doctor’s Multi-sited License In Our Country

At present, health care reform has promoted deeply in our country, people can see a doctor more quickly and more conveniently,every people can enjoy medical insurance,more and more doctors are willing to work in county.But public hospital is in the lack of finance compensation and medical experts are fewer.In 2009, the government puts forward the conception’ doctor’s multi-sited licensed’.In January 2015,the government clears about multi-sited licensed and puts forward instructional reform opinions.In April,Jiangsu province tries to break the system, makes sure that doctor’s multi-sited must be legal.This research studies about the present situation of physicians at home and abroad, combing the institutional framework, mode and mechanism, sums up the basic premise of multi-sited practice : doctors must be freelancers;doctors should have part-time energy;they should have compulsory medical insurance, to share risk of the doctor’s multi-sited. Research based on governance, institutional change summarizes the situation of doctors multi-sited in China, the doctors lack of laws and regulation,lack of more practice legitimacy and regional unified information platform, the fiscal and taxation management difficulties and so on.This paper combines the experience to Europe, America and Japan patterns.The government should establish and improve the performance appraisal, establish effective constraint mechanism, standardize the physician practice behavior. The study in suzhou focus on the multi-sited practice patterns of system framework, and system. From the perspective of physician, we should take more practice into account the reality of all kinds of problems; From the service security system, it is lack of more physicians’ practice for the public health service. The management of the doctor’s multi-sited need to be strengthened,involved in the health care reform,the personnel system, in addition to establishing legal support system, management system and development model, physicians and service support system in many aspects to achieve the balanced allocation of medical resources, provide convenient medical service for the masses of the people. The paper based on the above research puts forward suggestions: the relevant laws and regulations, more professional legitimacy;regional information platform, management of pay tax; build a system of responsibility, eliminate medical risks; set up a performance evaluation mechanism, to ensure fair rationality of income; speed up and improve the incentive mechanism, stimulate the positive initiative fully.