首页> 美国卫生研究院文献>American Journal of Public Hygiene >From socialist principles to motorcycle maintenance: the origin and development of the salaried physician model in the Israeli Public Health Services 1918 to 1998.
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From socialist principles to motorcycle maintenance: the origin and development of the salaried physician model in the Israeli Public Health Services 1918 to 1998.

机译:从社会主义原理到摩托车维修:1918年至1998年以色列有薪医生模式的起源和发展。

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摘要

For more than 70 years, physicians in the Israeli health care system have been employed on a fixed salary rather than on a fee-for-service basis. The present report is a brief review of the origin and development of this unique salaried physician model and its effect on the terms of physicians' employment. Archival documents were reviewed. The salaried physician model was introduced to ensure egalitarian health care for patients rather than equal payment for physicians. It was accepted by physicians because it guaranteed their employment and income. However, over the years, the salaried physician model has evolved into a complex wage scale, with multiple fringe benefits that bypass formal agreements in order to reward individual physicians. In addition, the salaried physician model has encouraged illegal private practice, which is viewed today as one of the major problems of the Israeli Public Health Services.
机译:70多年来,以色列卫生保健系统中的医生一直以固定薪金而不是按服务付费的方式受聘。本报告简要回顾了这种独特的受薪医师模型的起源和发展及其对医师就业条件的影响。档案文件进行了审查。引入了带薪医生模型,以确保为患者提供平等的医疗保健,而不是向医生支付均等的费用。它被医生接受,因为它保证了他们的就业和收入。但是,这些年来,受薪医师模型已经演变为复杂的工资等级,具有多种附带福利,绕过正式协议以奖励个别医师。此外,受薪医生模式鼓励了非法的私人执业,如今,非法执业已被视为以色列公共卫生服务的主要问题之一。

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