三级综合医院非本院注册医师门诊配置情况分析

Status of outpatient allocation of doctors who not serving in registered hospital in tertiary general hospital

目的:通过对全国部分三级甲等综合医院"三生"门诊安排情况进行调查,探讨综合医院如何加强对"三生"门诊质量的监管。方法:采取问卷为主辅助电话及实地探访,针对北京、上海等大型三级甲等医院进行调查。结果:调查涉及全国80所三级甲等医院,以上海、北京的医院为主。发现不允许进修医师出门诊占22.67%,不允许本科实习生、研究生出门诊占17.33%,进修医师两证齐全的情况下允许独立行医的占5.33%,在有本院医师带教的情况下进修医师允许行医的占77.33%、本科实习生占42.67%、研究生占81.33%。结论:目前综合性医院对"三生"从事门诊诊疗活动控制相对宽松,需要加强监管,制定相关的法律法规。

Objectives：To understand the status of doctors who not serving in registered hospital allocated in outpatient department and to explore how to strengthen outpatient service practiced by those doctors quality monitoring.Methods：Large tertiary hospitals in Beijing and Shanghai were selected.Questionnaire investigation,phone visit and site investigation were used.Results：80 A level tertiary hospitals mainly in Beijing and Shanghai received the survey.22.67% of investigated hospitals do not permit doctors registered in other hospital provide outpatient service.17.33% of the hospitals do not permit interns provide outpatient service.5.33% of hospitals permit doctors registered in other hospital but have both certified qualification and doctor qualification provide outpatient service.If teaching doctor exits,77.33% of hospitals permit hospitals permit doctors registered in other hospital,42.67% undergraduate interns are permitted to provide outpatient service and 81.33% of graduated interns are permitted to provide outpatient service.Conclusions：The monitoring of intern doctors providing outpatient service is relatively loose.Relative regulation and law should be developed.