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Regulated multi-sited practice for physicians in China: incentives and barriers

Global Health Journal 2018年第1期2卷 14-31页

作者： Lihui Xu Min Zhang Dominique Bertrand Doctoral School 262 Sorbonne Paris CitéUniversity(USCP)Facultéde Droit 10 avenue Pierre Larousse92240 MalakoffFrance School of Public Health Chinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China National Center for the Management of Hospital Practitioners and Senior Staff of the Public Hospital Service(CNG) ParisFrance

The multi-sited practices (MSP) policy in China is expected to exert found implications upon uneven distribution of high-quality medical resources,coupled with the widespread phenomenon of physician's informal practices on multiple *** 2009,the Chinese government has upheld a policy that allows medical doctors to take on secondary jobs for the purpose of encouraging talented physicians to work in medical institutions and underdeveloped areas where their expertise is badly *** paper focuses on the MSP policy in China by examining how it has been implemented at the national and provincial levels through a review of government documents,statistical information,academic papers,and newspaper *** the MSP policy is to offer incentive to physicians at first-tier public hospitals to work in primary care centers or areas where their expertise,the evidence is hard to *** paper identifies several outstanding challenges to the MSP policy:(1) The importance of the MSP policy which is made by the central government is perceived differently at the provincial level by health officials and hospital administrators;(2) Interest in implementing the policy varies among physicians and hospitals;(3) Concerns about quality control and legal responsibilities for medical doctors to take on secondary jobs are ***'s MSP policy differs from the 'dual practice' policy in many countries because of its top-down approach,with its emphasis on government's role and administrative *** paper's findings may be useful for other developing countries where medical expertise is unevenly distributed due to market *** the special occasion of the Alma Ata Declaration's 40th anniversary and for the sake of promoting Universal Health Coverage,this paper also aims at sharing with other countries China's experience in trying to develop an adequate force of primary care *** the end of this paper,a four-point proposal is made for policy

关键词： health human resources multi-sited practice dual-practice health reform China

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