Study Of Predicaments And Countermeasures On Doctor Multi-Site Practice Under The Background Of New Health System Reform

Medical service is closely linked with the people's life, and the supply mode of the medical service with high quality is a beneficial exploration in easing the problems of inadequate and overly expensive medical services. Doctor multi-sites practice is one of the main ideas of the New Health System Reform, and it has great influence on optimizing medical service's quality, solving problems like the public hospitals' low level of management and their inefficient service,unequal allocation of medical resources and insularity of medical market. New Health System Reform with one of the main ideas which refers to Doctor Multi-sites Practice, has been put into practice for six years since 2009, and the policy of Doctor Multi-sites Practice has been carried out in several provinces and cities,and also has got some achievements, but with unbalanced development. There are many factors which restrict the development of the Doctor Multi-sites Practice, such as implementation environment, stakeholders' interests, different philosophy, law, policy, supervision system and so on. Doctor Multi-sites Practice always has difficulties in implementation, so it still need reform and improvement.This paper begins with New Health System Reform. It firstly presents the background of Doctor Multi-sites Practice and then describes its development history and main practice mode in our country, by citing case of pilot doctor multi-site practice in Kunming and Beijing.Based on an analysis of the reasons of policy predicament?stitutional predicament and benefit predicament, then put forward the corresponding countermeasures.The introduction of the article is devoted to research background and significance. It analyses the research achievements about Doctor Multi-sites Practice at home and abroad, alao defines key concepts and related theoretical basis in detail, and briefly explains the research methods,ways of thinking, innovation points and directions of New Health System Reform,analyses relevant policies of relevant policies of the Doctor Multi-sites Practice and pilot case of Doctor Multi-sites Practice in Kunming and Beijing..The second part of the article introduces the Doctor Multi-sites Practice is facing implementation difficulties of profit, system and policy. The third part in this paper comprehensively introduces implementation difficulties of Doctor Multi-sites Practiceour in our country in terms of practice obstacles, stakeholders' interests and their different philosophy, laws and regulations, medical security, supervisionand so on. As to the difficulties of development on the Doctor Multi-sites Practice, the fourth part puts forward useful countermeasures for the Doctor Multi-sites Practice of China and it involves the following five aspects: creating an environment where doctor could work freely,distributing in a fair way, perfecting related laws and regulations, exploring effective models of Doctor Multi-sites Practice and building relevant supervision system.As one of the main content of the New Medical Reform, the primary purpose of Doctor Multi-sites Practice is to obtain "Steadily promotethe rational flow of the medical personnel,and promote the vertical and horizontal exchange of talents between different medical institutions", Through analyzing the predicament of the Doctor Multi-sites Practice under the New Medical Reform, this paper will propose some worthwhile ideas and suggestions for New Health System Reform.