[1]周明华.我国三级公立医院绩效考核结果分析与思考[J].中国卫生质量管理,2024,31(01):034-37.[doi:10.13912/j.cnki.chqm.2024.31.1.08]
　ZHOU Minghua.Analysis and Reflection on Performance Appraisal Results of Tertiary Public Hospitals in China[J].Chinese Health Quality Management,2024,31(01):034-37.[doi:10.13912/j.cnki.chqm.2024.31.1.08]
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我国三级公立医院绩效考核结果分析与思考()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年01期
页码:
034-37
栏目:
绩效管理与医院高质量发展
出版日期:
2024-01-15

文章信息/Info

Title:
Analysis and Reflection on Performance Appraisal Results of Tertiary Public Hospitals in China
作者:
周明华
泸州市人民医院
Author(s):
ZHOU Minghua
Luzhou People’s Hospital
关键词:
三级公立医院; 绩效考核; 高质量发展
Keywords:
Tertiary Public Hospitals;  Performance Appraisal;  High-Quality Development
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2024.31.1.08
文献标志码:
A
摘要:
目的对我国三级公立医院绩效考核结果进行分析，为推进三级公立医院高质量发展提供依据。方法运用描述性分析法和对比分析法对2019年—2021年三级公立医院绩效考核结果及发展趋势进行分析。结果出院患者手术占比、微创手术占比、四级手术比例和日间手术占择期手术比例均有所增长；I类切口感染率下降，DRG组数中位数逐渐增加；抗菌药物使用强度逐步降低，且明显低于40 DDDs的国家上限要求；门诊预约诊疗率大幅度提升，门诊患者预约后平均等候时间稳中有降；人员支出占业务支出比例稳中有升；副高级以上职称的比例、接收对口支援医院和医联体内医院进修半年以上人员的比例逐步提升。存在的主要问题为三级公立医院发展不均衡，跨省异地就医现象仍然存在，医院管理水平有待进一步提高，患者就医感受和医务人员获得感仍需进一步改善。结论为推进三级公立医院高质量发展，还需进一步提升医疗服务水平；加强医院科学管理，推进管理出效益；激活医务人员积极性，推动以人为本的全面发展。
Abstract:
ObjectiveTo analyze the performance appraisal results of tertiary public hospitals in China, and provide basis for promoting the high-quality development of tertiary public hospitals.MethodsDescriptive analysis method and comparative analysis method were used to analyze the performance appraisal results and development trend of tertiary public hospitals from 2019 to 2021. ResultsThe proportion of discharged patients undergoing surgery, the proportion of minimally invasive surgery, the proportion of grade-4 surgery and the proportion of ambulatory surgery in elective surgery all increased. The infection rate of Class I incision decreased, and the median number of DRG group increased gradually. The intensity of antimicrobial use decreased gradually and was obviously lower than the national upper limit of 40 DDDs. The rate of outpatient appointment was greatly improved, and the average waiting time of outpatient patients after appointment was stable and decreased. The proportion of personnel expenditure in business expenditure was stable and increased. The proportion of persons with professional titles of deputy senior or above, and the proportion of persons receiving training for more than six months in counterpart supporting hospitals and hospitals in the medical union had gradually increased. The main problems were uneven development of tertiary public hospitals, cross-province and different places for medical treatment, hospital management level needed to be further improved, and patients’ feeling of medical treatment and medical staff’s sense of access still needed to be further improved.Conclusion In order to promote the high-quality development of tertiary public hospitals, it is necessary to further improve the level of medical services; strengthen the scientific management of the hospital and promote the efficiency of management; activate the enthusiasm of medical staff and promote the all-round development of people.

参考文献/References:

［1］朱美红,朱雯瑛. 标杆管理视角下公立医院绩效考核体系的应用与优化［J］. 卫生经济研究,2022,39(9):71-73.［2］王文娟,任 鑫,蔡媛青,等. 北京市属三级公立医院公益性水平测度及评价研究［J］. 中国医院管理,2022,42(1):25-29.［3］马谢民. 三级公立医院绩效考核指标中医疗质量指标及相关问题探讨［J］. 中国医院管理,2022,42(4):49-52.［4］樊 荣,王 楠. 三级公立医院绩效考核指标的应用探析：以运营效率指标为例［J］. 卫生经济研究,2021,38(6):14-17.［5］王雪莹,李 希,樊 静. 2015—2020年三级医院住院患者跨省异地就医现状及趋势分析［J］. 中国医院,2023,27(4):51-53.［6］徐 源,陈珉惺,何江江,等. 国家药品集中带量采购中标药品生产供应状况与保障建议［J］. 中国卫生经济,2022,41(7):65-67.［7］莫 非,李 伟,程玉梅,等. 三级公立医院绩效考核推动医疗质量管理体系实践与思考［J］. 中国医院,2022,26(12):90-93.［8］谢士钰,刘 静,刘世蒙,等. 政策执行视角下地方公立医院绩效考核体系构建路径分析［J］. 中国卫生政策研究,2021,14(6):14-20.［9］蒋 帅,王成增,付 航,等. 高质量发展背景下智慧医院建设的关键问题及对策［J］. 中国医院管理,2022,42(11):6-8.［10］夏 晴,熊季霞. 基于DEA—Malmquist指数的某医改典型试点城市公立医院运营绩效评价［J］. 现代预防医学,2021,48(13):2396-2400.［11］檀 旦,任 巍,张丽华. 湖北省二级以上公立医院运营管理部门建设现状调研［J］. 卫生软科学,2023,37(5):49-52.［12］李熹阳,李国红,宋可玉,等. 医务人员对三级公立医院绩效考核政策的认同研究［J］. 中国卫生质量管理,2022,29(8):11-14.［13］王文娟,任 鑫,蔡媛青,等. 基于定性比较分析方法的公立医院绩效评价作用机制研究［J］. 中国卫生经济,2021,40(12):82-86.［14］何 静,吴玲红,韦海妮,等. 深圳市某三甲医院人力资源管理认知程度对医务人员满意度的影响研究［J］. 医学与社会,2020,33(9):87-91.［15］黄 莉,李婷婷,王 文. 国家三级公立医院绩效考核下外科医师个人绩效指标体系的构建［J］. 现代预防医学,2020,47(6):1044-1047.［16］蔡媛青,郑炫杉,王文娟,等. 基于定性比较分析方法的某市公立医院医务人员工作满意度影响机制研究［J］. 医学与社会,2022,35(4):1-6.

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更新日期/Last Update: 2024-01-15