——金昌晓 周瑞 翟辉辉 张敏佳

【摘要】在新的历史时期，国家对公立医院提出了新的要求，公立医院的高质量发展迈进崭新阶段。文章以北京大学第三医院为例，介绍了该院以绩效管理为抓手，推动医院高质量发展的实践经验。文章阐述了该院的绩效考核原则和整体思路，以及该院在工作效率考核激励、综合考核激励、增量考核激励、特殊津贴等方面的精准激励措施，并进行了成效总结及思考，以期为医院管理者提供借鉴。

【关键词】公立医院；绩效考核；高质量发展

中图分类号：R197.31文献标识码：B

Promoting the High-Quality Development of Hospital by Targeted Incentives/JIN Changxiao,ZHOU Rui,ZHAI Huihui,et al.//Chinese Health Quality Management，2022,29(3):43-46

Abstract In the new historical period, the country proposed to the public hospitals new requirements and the high-quality development of public hospitals has entered a new stage. Taking the Peking University Third Hospital as an example, this paper introduced the practical experience of promoting the high-quality development of hospital with performance management. In order to provide reference for hospital managers, this paper expounded the principle and the general strategy of performance appraisal, as well as a series of accurate incentive measures in work efficiency assessment, comprehensive assessment,incremental assessment, special allowance, etc. Furthermore, the results were summarized and think.

Key words Public Hospital;Performance Appraisal;High-Quality Development

First author's address Peking University Third Hospital，Beijing，100191，China

1 我国公立医院发展现状

目前，我国社会城镇化及人口老龄化程度不断加深，人民群众的医疗服务需求快速增长。然而，医疗体制机制改革相对滞后，医疗资源配置长期不均衡，导致大型公立医院一方面服务人次持续增长，规模持续扩大，医院陷入粗放式规模发展的恶性循环［1］；另一方面，由于医院规模的边际效益递减，大型公立医院规模发展的负效应日益凸显，主要表现为医院债务和医保垫付压力巨大、医护人员职业倦怠、医院风险防控削弱等［2］。患者的过度集中也引起资源不足与浪费并存、服务效率低下与社会矛盾加剧等一系列社会问题［3］。同时，医改逐渐进入深水区带来医疗环境的重大变化，使得医院原有的经营受到严重冲击，运营压力持续增加，原来重规模、轻内涵的粗放管理已难以适应新形势。

原文链接：精准激励助力医院高质量发展