深圳属于“允许医师多点执业”的首批试点地区,但推进的过程并不顺利。对于医师多点执业这一政策的正面意义,分歧并不大,但实施起来却并不尽人意。医师对这一政策持有观望态度,而医院的态度特别是管理者的态度耐人寻味。目前,多种形式的医师多点执业已经成为国际上医师行医的主流模式,而我国的医师大部分还停留在现行“单位人”的陈旧管理模式中。医师多点执业涉及的部门很多,很多问题不仅仅是医疗系统自己能够独立解决的。改革是需要勇气的,而好的政策的指定和推行也是需要平衡和技巧的。相向而行,共同进退,方能共赢。 Shenzhen belongs to the first pilot areas that “allow doctors to practice more”, but the process of advancing is not smooth. There is not much disagreement about the positive significance of the doctor’s practice of multi-pronounciation, but the implementation is not satisfactory. Physicians hold a wait-and-see attitude toward this policy, and the attitudes of hospitals, especially managers, are intriguing. At present, the multi-point practice of various forms of doctors has become the mainstream mode of practicing doctors in the world, and most of our physicians still stay in the old management mode of current “unit people”. There are many departments involved in the practice of multidisciplinary doctors, and many problems are not only solved independently by the medical system themselves. Reform requires courage, and the design and implementation of good policies also require balance and skill. Going in the same direction, working together, can win.