山东省3所医院医生收入和业余医疗服务收入的分析

Analysis of Income and Income Structure of Doctors in Three Different Level Hospitals in Shandong Province

为了了解医生目前的收入水平和业余医疗服务收入方面的情况,我们对山东省一、二、三级公立医院各1所的所有临床医生进行了有关收入和收入结构的问卷调查。结果表明:公立医院的医生在医院获得的正式劳务报酬不高;从事业余医疗服务收入能够提高医生收入水平;业余医疗服务对医生的职称、工作年限等要求较高、在今后的卫生改革中,必须重视医疗服务定价中医生的技术劳务价值,提高医院总支出中人员经费、工资总额所占的比例,制定医生兼职政策,规范、管理医生业余医疗服务活动。

In order to get information about the total income and income from part-time medical job, we conducted a research among doctors from three different level hospitals in Shandong. Findings include: the income paid to doctors by public hospitals is some how averagely; pursuing part-time medical jobs (or Dual Practice) contributes to those doctors' income; dual practice has some comparative high requirements on doctors, such as senior technical post and more clinical experience. In the health system reform, the value of technique and labor should be paid more importance in the setting of medical service price, the proportion of expenditure on staff and total pay should be enhanced, and policies about dual practice should be set.