Research On The Impact Of The First Practice Hospital On Physician's Multi-sited Practice Under The Unit Person

In recent years,with the continuous release of people's demand for high-quality medical and health services,the supply contradiction of high-quality medical and health resources has become much more prominent.The uneven distribution of high-quality medical and health services,and the unreasonable allocation of medical level have influenced people's experience of medical treatment.In March 2009,the issue of “Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reformation of the Medical and Health System",which was the first time to propose to research and explore the system of physician's multi-sited practice,indicated that a new round of reformation of the medical and health system have already officially begun in our country,which promotes the rational flow of medical personel and improves the utilization efficiency of high-quality physician's resources.Health administrative departments at all levels keep constantly optimizing and improving the policy of physician's multi-sited practice,trying to alleviate the problems of shortage of high-quality medical personnel resources and unreasonable allocation from the aspects of multi-sited practice registration,signing of labor contracts and labor service agreements,assuming medical responsibilities,and managing physician's multi-sited practice.However,the implementation effect of the policy is not satisfactory.At present,our country's medical and health industry benefits from the advantages of the system,and public hospitals monopolize the best medical resources and development opportunities.Under the traditional system of “unit person”,almost all the resources of high-quality doctors gather in large public hospitals in cities.High-quality physician's resources are the basis of survival and competition for hospitals.Public hospitals lack to release the motivation of multi-sited practice by high-quality physicians.Based on the current management system environment of "unit person" in public hospitals,this paper investigates the willingness,behaviors and existing problems of physician's multi-sited practice,and to study and analyse the impacts and the reasons of the first practiced hospital on physician's multi-sited practice under the “unit person” management system,and to put forward the suggestions of the implementation of multi-sited practice under the "unit person" management system.The research methods of this paper are mainly through literature analysis,questionnaire surveys and interviews with informed persons,etc,to investigate and study the main stakeholders of physician's multi-sited practice,and to study and analyze the influencing ways and reasons of the first practicd hospital on practice multi-sited practice,.Our study finds that the physician groups have a higher willingness to accept physician's multi-sited practise,but the behaviors of it is lower,for the main concern is the restriction of the first practiced hospital.The first practiced hospital has the lower degree for supporting the physician's multi-sited practiced policy,and what influences the behavior of physician's multi-sited practice the most is the attitude of the first practiced hospital.The reasons why physician's multi-sited practice is not supported by the first practiced hospital is that the loss of brain and resource drain in the first practiced hospital will have a great influence on the medical quality safety and service quality of the first practiced hospital,which will break the balance of the internal and will increase the management difficulties and potential medical risks in the first practiced hospital,etc.The first practiced hospital takes use of the advantages of the management system of “unit person” to restrict physician's multi-sited practice in such aspects as supervision of medical behavior,evaluation and employment of professional titles,appointment of administrative posts,salary and welfare,social security,continuing education and experimental opportunities for scientific research..Therefore,in order to promote the implementation of physician's multi-sited practiced policy,we must pay attention to the interests and influences of the first practiced hospitals,improve the physician's multi-sited practiced system,establish reasonable interest compensation mechanism,optimize the physician's multi-sited practiced policy environment,and remove the restriction of the first practiced hospital on physician's multi-sited practice,promote the effective flow of quality medical and health personnel,and effectively improve the medical service environment for the people.