关键词: 多点执业, 医师, 行政管理人员, 问卷调查, 广东

Abstract: Background　Promoting multiple-site physician practices facilitates vertical and horizontal mobility of talents among different medical institutions and regional rational allocation of medical talents，gives supports for the development of primary healthcare institutions to the utmost extent，and provides a platform and opportunities for the training and growth of general practitioners.Since January 1st，2010，Guangdong Province，the first pilot province in China to put multiple-site physician practices into practice，has encountered an embarrassing situation of enthusiastic media coverage，public hospitals' indifference and multiple doctors' wait-and-see attitude.Objective　To investigate the levels of support for multiple-site physician practices from the perspectives of stakeholders （physicians，managers and health policy research experts） of such practices.Methods　A questionnaire survey was conducted among 425 physicians from 15 public hospitals and 119 medical administrators and health policy research experts from 10 public hospitals in Guangdong Province from May 2011 to August 2012.The survey covered the following aspects：attitude towards multiple-site physician practices，perceptions of the prospect of multiple-site physician practices，thoughts or impulses about/evaluation of multiple-site physician practices，and biggest beneficiaries and losers of multiple-site physician practices.Results　Multiple-site physician practices received supports from 70.4% （299/425） of the physicians，and 44.5% （53/119） of the medical administrators and health policy research experts.Patients，and the second practice setting were thought as the biggest beneficiaries of multiple-site physician practices in 38.6% （164/425），and 38.4% （163/425） of the physicians，respectively.But 16.9% （72/425） of the physicians，and 42.0% （50/119）of the medical administrators and health policy research experts thought that physicians were the biggest beneficiaries of multiple-site physician practices.The first practice setting was considered as the biggest loser of multiple-site physician practices by 71.1% （302/425） of the physicians，and 77.3% （92/119） of the medical administrators and health policy research experts.Conclusion　The stakeholders have different attitudes toward multiple-site physician practices.Although physicians and medical administrators and health policy research experts show different views on the biggest beneficiaries of multiple-site physician practices，all of them agree that the first practice setting of the physicians is the biggest loser of such practices.

Key words: Doctor's multi-sited licensed, Physicians, Administrative personnel, Questionnaire survey, Guangdong