美国医生集团发展以及对我国的启示

Development of physician group in the USA and its implications for China

在美国,医生集团和医生团体执业已发展成较为普遍的执业模式,并具备相对完善的法律法规体系监管其执业行为。政策方面,由联邦政府颁布《斯塔克法》(Stark Law),对医生集团(团体执业)的定义、性质、运营、服务内容进行详细规定。市场方面,建立与医生集团以及医生执业行为相关医疗保险规范,保障医生集团的执业行为。在我国,医生集团作为新生事物已得到了社会各界的普遍关注。但由于发展时间短,发展路径还在继续探索中,医生集团相关法律法规尚不健全。本文旨在总结美国医生集团的发展及监管情况,为我国医生集团的规范发展提出政策建议:完善相应法律法规;推动建立相应保障政策;加快研究和制定医生责任险;持续跟踪、正确对待、及时总结。

In the United States of America, the physician group practice has become one of the most common practice models, and has a relatively perfect and clear system of laws and regulations in its monitoring. In view of the policy side, the federal government has published the ＂Stark Law＂ to regulate the registration, properties, operation, service contents in details for the physician group practice. Taking the market side, it is practiced to protect the physi- cian groups and medical practice behaviors through medical insurance policies. In China, the emergence of physician group has received widespread attention and concern. But since the short development time and unclear development path, the relevant laws and regulations for physician groups are still are not perfect. This paper aims to summarize the development and status quo of the American physician group as well as the regulations related to the groups＇ operating system, which will provide a good reference to China. The purpose is to provide policy recommendations for the standardized development and perfect regulations of physician groups in China. The following recommendations were put forward ： improve the relevant laws and regulations ; promote the establishment of the corresponding security poli- cies ; speed up and enhance the research and development of medical liability insurance ; do continuous tracking and timely summarize practices.