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源自美国的主诊医师负责制,由于将医院、医生和患者的利益高度统一,最大化地释放了医生的能量,从而实现医疗质量与医院效益的双赢。然而,这种建立在医生自由流动、医疗高度市场化基础上的临床体制设计,和医生相对独立经营的组织文化,是否能在中国全盘复制,仍有待观察。而中国医院当前已经试行的、基于各种目的、形式各异的主诊医师负责制,是桔是枳,也尚难分明。一种中国式的主诊医师负责制,正在被期待,被探索。
From the United States attending physician responsibility system, due to a high degree of unity of the interests of hospitals, doctors and patients, to maximize the release of the doctor’s energy, so as to achieve a win-win medical quality and hospital benefits. However, it remains to be seen whether this clinical system design based on doctor’s free-floating and highly market-oriented medical practices and the relatively independent organizational culture of doctors can be completely replicated in China. The Chinese hospital has now been piloted, based on various purposes, different forms of attending physician responsibility system is orange is trifoliate orange, it is still difficult to distinguish. A Chinese-style attending physician accountability system is being looked forward to being explored.