基于问题导向的公立医院薪酬分配现状与制度设计——以浙江省为例  

Based on Problem-oriented Public Hospitals' Pay Distribution Status and System Design——Taking Zhejiang Province as Example

作　　者：叶向明 徐龙仁 李鹏[3] 潘晓敏 戴秀兰[4] 陈海娟[5] 施伟文 胡希家 徐芸 YE xiang-ming et al(Health Economics Research Magazine, Hangzhou, P. R. Chin)

机构地区：[1]<卫生经济研究>杂志社,浙江杭州310009 [2]浙江省卫生和计划生育委员会 [3]杭州师范大学 [4]浙江省卫生财会管理中心 [5]浙江省肿瘤医院 [6]浙江省医学科技教育中心

出　　处：《中国卫生事业管理》2016年第10期749-753,共5页Chinese Health Service Management

基　　金：浙江省医药卫生科技项目"建立适应医疗行业特点的公立医院薪酬制度研究"(编号:2015KYA069);浙江省卫生经济学会2015年招标课题

摘　　要：公立医院的薪酬制度是新医改的核心制度安排。本研究通过对浙江省公立医院薪酬分配现状的调研,总结当前公立医院薪酬分配存在的主要问题:医务人员收入与服务收入挂钩,趋利性明显;收入与劳动付出不匹配,对人才缺乏吸引力;薪酬差距不合理,缺乏公平性;缺少非经济性激励和对人才培养的统筹考虑。对此,提出能充分体现公立医院公益性并充分调动职工积极性的薪酬分配制度设计,为探索建立适应医疗行业特点的公立医院薪酬制度提供实践依据。Pay system in public hospitals is the core institutional arrangements for the new medical reform.The study on the status of salary distribution of public hospitals in Zhejiang province,summarizing the main issues of the current salary distribution as follows： the income of medical staff related the service income,benefits or reduce significantly; income and pay does not match each other led to the shortage of talent attraction; the unreasonable pay gap lack of fairness; and lack of consideration of non-economic incentives for personnel training.In this regard,this paper proposed to design reasonable compensation distribution that fully reflect the welfare and mobilize the enthusiasm of medical staff,and to provide practical basis for exploring and establishing the pay system that meet the characteristics of public hospitals.

关 键 词：公立医院 薪酬制度 医疗行业特点 问题导向 

分 类 号：R197.31[医药卫生—卫生事业管理]