我国公立医院注册医师多点执业的多方博弈研究

Multi- Game Research on Registered Physician Multi- Site Practice in Public Hospitals in China

为探究我国注册医师多点执业政策实施背后的动力和障碍因素,利用完全信息动态博弈模型和博弈树的表达形式,对政府、公立医院、民营及基层医疗机构、医师四者间进行多方博弈分析。认为民营及基层医疗机构、注册医师能够推动政策发展,但影响力远小于公立医院对多点执业的阻碍作用。建议加快公立医院管办分离与人事制度的改革,促进社会办医进程。

To explore the motivations and obstructive factors for registered physician multi - site practice policy in China, use complete information dynamic game model and game tree presentation to analyze four aspects of government, public hospitals, private and primary medical institutes. The private and primary health care institutions, and physician can promote policy devel- opment. However, its effect is less than the obstruction of the public hospital. The implementation of separate from management and personnel management system, and the reform of personnel system in public hospitals are recommended to promote the process of medical institutes by society.