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

摘要： 背景　推动医师多点执业有助于促进不同医疗机构之间人才的纵向和横向交流，合理配置区域的卫生人才资源，最大限度帮扶基层医疗卫生机构的发展，同时为全科医生的培养、成长提供平台和机会。广东省从2010-01-01起作为全国首个试点的省份，出现了媒体热、公立医院冷淡、医生观望的尴尬局面。目的　从政策损益补偿角度了解当前医师、管理者和卫生政策研究专家对多点执业的支持程度。方法　2011年5月—2012年8月，通过问卷的方式对广东省15家公立医院425名医师和10家公立医院的119名管理者和卫生政策研究专家进行调查。调查内容包括：对多点执业的态度、对多点执业前景的认知、有无多点执业的想法或冲动/对多点执业的效果评价、认为多点执业最大受益者为谁、认为多点执业最大受损者为谁。结果　70.4%（299/425）的医师赞成推行医师多点执业，44.5%（53/119）的管理者和卫生政策研究专家赞成推行医师多点执业。关于医师多点执业的最大受益者，38.6%（164/425）的医师认为患者受益最大，其次38.4%（163/425）的医师认为第二执业机构受益最大，而仅有16.9%（72/425）的医师认为医师受益最大。42.0%（50/119）的管理者和卫生政策研究专家认为最大受益者是医师。关于医师多点执业的最大受损者方面，71.1%（302/425）的医师和77.3%（92/119）的管理者和卫生政策研究专家认为所在医院受损最大。结论　利益相关者对医师多点执业支持态度差异较大；关于医师多点执业受益分析，管理者和卫生政策研究专家的观点与医师的观点出现较大的分歧，却一致认为医师所在医院是医师多点执业的最大受损者。

关键词: 多点执业, 医师, 行政管理人员, 问卷调查, 广东