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目的探究我国医师多点执业政策实施效果不佳的原因和决策建议。方法利用完全信息动态博弈模型,对政府、第一执业医院和第二(三)执业医院进行博弈分析。结果博弈最佳策略组合为政府深入实施政策,第一执业医院阻碍医师外院执业,第二(三)执业医院积极表达需求并施加影响,印证我国政策推行的实际情形。结论政府部门应关注第一执业医院对政策的态度和反应,在横向流动名额配置、首诊转诊制度以及医疗行为保障等方面加以完善。
Objective To explore the reasons for poor effect of multi-point practice of doctors in our country and suggestions for decision-making. Methods The game of complete information dynamic game model is used to analyze the government, the first practice hospital and the second (third) practice hospital. The optimal strategy for the outcome game is the government’s in-depth implementation of the policy, the first practice hospital impeding the practice of physicians outside the hospital, and the second (third) practice hospital actively expresses the demand and exerts influence to confirm the actual situation of our country’s policy implementation. Conclusions Government departments should pay attention to the attitude and reaction of the First Practicing Hospital to the policies and improve them in aspects of the quota arrangement of transverse flow, the first referral referral system and the guarantee of medical behavior.