Abstract: Background　Physician multi-site practice is conducive to promoting the rational flow of high-quality doctor resources and alleviating the problem of "difficulty in seeing a doctor".However, the current registration of doctors is not very satisfactory. Objective　To explore the perceptions of multi-site practice policies among physicians from Jiangsu Province.Methods　From July to August 2017，this study was conducted in a convenience sample of physicians who met the criteria from 9 medical institutions purposively sampled from southern，central and northern Jiangsu（1 primary，1 secondary，and 1 tertiary medical institutions from each of these three regions）．They were surveyed with a self-designed questionnaire for collecting the data concerning demographic characteristics，and perceptions of multi-site practice（including the understanding level of multi-site practice policies，level of support for multi-site practice，intention to practice in multiple sites，opinions of the prospect of multi-site practice，possible benefits gained from practicing in multiple sites，concerns and misgivings of practicing in multiple sites，preferred patterns for practicing in multiple sites.Of the 204 questionnaires distributed，194 were returned，yielding a 95.1% response rate.Results　Of the 194 respondents，93.3%（181/194）were well/good/fair aware of multi-site practice policies；78.4%（152/194）approved of multi-site practice policies；70.1%（136/194）were willing to practice in multiple sites；47.4%（92/194）thought that multi-site practice was very promising；80.9%（157/194）hold that multi-site practice contributed to reach self-actualization；75.3%（146/194）considered that multi-site practice helped increase incomes；65.5%（127/194），62.4%（121/194），60.8%（118/194）showed particular concerns about payment，social esteem and working environment，respectively；62.4%（121/194）felt ill equipped to manage medical accidents and disputes brought by multi-site practice and 60.3%（117/194）worried that the environments in multiple sites would be too diversified to adapt；61.9%（120/194）preferred doctors studio，53.6%（104/194）preferred the institutions within a medical consortium（for providing needed services） and 47.9%（93/194）preferred a registered practice site when it comes to the patterns of multi-site practice.Among the respondents，the level of awareness of multi-site practice policies differed significantly by sex，professional and technical title，location area of the medical institution（P<0.05）；the level of support for multi-site practice varied obviously by professional and technical title，location area and level of the medical institution（P<0.05）；the intentions to practice in multiple sites changed substantially according to years of working，professional and technical title，and location area of the medical institution（P<0.05）；the views of the development prospect of multi-site practice diversified by sex，educational level，professional and technical title，and location area of the medical institution（P<0.05）．Conclusion　Most of the physicians understood multi-site practice policies，showed support for multi-site practice and intended to practice in multiple sites.However，they also demonstrated misgivings.The understanding level of multi-site practice policies diversified according to demographic factors.

Key words: Physician multi-site practice, Implementation dilemma, Policy recognition, Physicians

摘要： 背景　医师多点执业政策有利于促进优质医师资源的合理流动，缓解居民“看病难”的问题，但目前医师多点执业注册情况并不十分理想。目的　探讨江苏省医师对医师多点执业政策的认知情况。方法　采用目的抽样法，在苏南、苏中、苏北3个地区分别选取3家不同等级（三级、二级、一级）的医疗机构，然后采取方便抽样法，在9家医疗机构选取符合本研究标准的医师为调查对象。于2017年7—8月，采用自行设计的调查问卷对纳入的医师进行调查。问卷的主要内容包括：医师的基本情况，对医师多点执业的认知情况（包括了解程度、是否赞成、意愿、对多点执业政策前景的看法、认为医师多点执业可能带来的好处、关心的因素、存在的顾虑及愿意采用的多点执业工作形式）。共发放问卷204份，回收有效问卷194份，问卷的有效回收率为95.1%。结果　194例医师中，非常了解/了解/一般了解医师多点执业政策者占93.3%（181/194）；赞成多点执业政策者占78.4%（152/194）；愿意进行多点执业者占70.1%（136/194）；非常看好医师多点执业者占47.4%（92/194）；认为医师多点执业有助于实现自我价值、增加收入来源者分别占80.9%（157/194）、75.3%（146/194）；关心的因素为薪酬、尊重度、工作环境者分别占65.5%（127/194）、62.4%（121/194）、60.8%（118/194）；参加多点执业的顾虑为医疗事故及纠纷难以处理、工作环境的差异者分别占62.4%（121/194）、60.3%（117/194）。选择医生工作室、医联体内部的对口帮扶、注册多点执业单位作为多点执业形式者分别占61.9%（120/194）、53.6%（104/194）、47.9%（93/194）。不同性别、职称、所在医疗机构区域的医师对多点执业了解程度的比较，差异有统计学意义（P<0.05）；不同职称、所在医疗机构区域、所在医疗机构等级的医师对多点执业的赞成情况比较，差异有统计学意义（P<0.05）；不同工龄、职称、所在医疗机构区域的医师对多点执业的意愿比较，差异有统计学意义（P<0.05）；不同性别、学历、职称、所在医疗机构区域的医师对多点执业前景的看法比较，差异有统计学意义（P<0.05）。结论　多数医师了解、赞成并愿意进行多点执业，但仍有顾虑。不同基本情况的医师对多点执业政策的认知情况有差异。

关键词: 医师多点执业, 实施困境, 政策认知, 医师