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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:

第27卷

期数:

2020年06期

页码:

107-110

栏目:

人力资源与绩效

出版日期:

2020-11-28

文章信息/Info

Title:

Analysis of Performance Appraisal Policy of Public Hospitals in China from the Perspective of Public Welfare and Enthusiasm

作者:

周明华1谭红2*何思长3赵大仁4

泸州市人民医院

Author(s):

ZHOU Minghua; TAN Hong; HE Sichang; et al

Luzhou People’s Hospital

关键词:

公益性; 积极性; 公立医院; 绩效考核; 政策分析

Keywords:

Public Welfare;  Enthusiasm;  Public Hospitals;  Performance Appraisal;  Policy Analysis

分类号:

R197.322

DOI:

10.13912/j.cnki.chqm.2020.27.6.26

文献标志码:

B

摘要:

目的对我国公立医院绩效考核政策进行评述，为推动我国公立医院绩效考核提供参考。方法从宏观、中观、微观3个层面，按照坚持公益性、调动积极性和提升群众获得感三个方面，从利益相关者角度进行绩效考核政策分析。结果宏观层面将公立医院综合改革纳入绩效考核，中观层面建立健全绩效考核指标体系,对院长年度工作进行考评，微观层面主要是以服务质量和效率为核心。坚持公益性要建立健全以公益性质为核心的绩效考核体系，调动积极性要充分发挥绩效考核的激励、导向作用，提升群众获得感主要是控制医疗费用。利益相关者在公立医院绩效考核中利益损益各有不同。结论宏观层面顶层设计不够清晰，需建立健全行政能力考核机制；中观层面多部门治理协调性不足，需要加强部门联动性；微观层面绩效考核配套政策缺位，需落实考核指标的范围和内容。

Abstract:

ObjectiveTo review the performance appraisal policy of public hospitals in China, and provide reference for promoting the performance appraisal of public hospitals in China.MethodsThe performance appraisal policy analysis was based on the three aspects of macro, meso and micro, in terms of adhering to public welfare, mobilizing enthusiasm and enhancing the sense of gain of the masses, from the perspective of stakeholders.ResultsAt the macro level, comprehensive reform of public hospitals was incorporated into performance appraisal. At the meso level, a performance appraisal indicator system was established and the dean’s annual work was evaluated. The micro level was mainly based on service quality and efficiency. Adhere to the public welfare, it must establish and improve the performance appraisal system with the public welfare nature as the core. To mobilize the enthusiasm, it must give full play to the incentive and guiding role of performance appraisal,and take the control medical expenses as the core to improve the sense of gain of the masses. Stakeholders had different interests and benefits in the performance appraisal of public hospitals.Conclusion The top-level design at the macro level was not clear enough, and it was necessary to establish a sound administrative capacity assessment mechanism. The coordination of multi-sectoral governance at the meso level was insufficient, and it was necessary to strengthen departmental linkage. The micro-level performance appraisal supporting policy was absent, and the scope and content of the appraisal indicators needed to be implemented.

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更新日期/Last Update: 2020-11-28