基于RBRVS的公立医院内部绩效管理指标体系研究  

Research of Internal Performance Management Index System of Public Hospital Based on RBRVS

作　　者：张培林[1,2] 颜维华 高小玲[1,2] 程伟 刘宪[1,2] 江才明 陈维[1] 袁小英 陈玉英[1] 宋建宁 李红樱[1] 冯裕星[1] 张云[1,2] 皮星[1,2] 谭华伟[1,2] ZHANG Pei-lin;YAN Wei-hua;GAO Xiao-ling;CHEN Wei;LIU Xian;JIANG Cai-ming;CHEN Wei;YUAN Xiao-ying;CHEN Yu-ying;SONG Jian-ning;LI Hong-ying;FENG Yu-xing;ZHANG Yun;PI Xing;TAN Hua-wei(Chongqing Ninth People's Hospital(Southwest University Affiliated Hospital),Chongqing 400700,China)

机构地区：[1]重庆市第九人民医院(西南大学附属医院),重庆400700 [2]重庆市医院成本管理研究中心,重庆400700

出　　处：《卫生经济研究》2019年第12期14-17,共4页

基　　金：重庆市科卫联合医学科研项目（2019MSXM）;重庆市科卫联合医学科研项目（2019QNXM001）;重庆市社科联重点项目（2017ZDYY42）

摘　　要：RBRVS在公立医院内部绩效管理实践的重点在于建立“人价高、点值高”与“结余高、绩效高”一体化机制。本研究基于RBRVS框架,从操作时间、技术水平、技术风险、工作强度、工作难度、价格成本比六个维度构建了公立医院内部绩效管理指标体系,并实现与医疗物价体系、真实医疗服务项目成本、薪酬制度改革要求、医保支付制度改革、公立医院补偿机制的对接。The focus of RBRVS's internal performance management practice in public hospitals is to establish an integrated mechanism of“high price of human,high value of point”and“high balance,high performance”.Based on the RBRVS framework,this study constructed the internal performance management index system of public hospitals from the six dimensions of operation time,technical level,technical risk,work intensity,work difficulty and price cost,and realized the docking among the costs of medical price system,the costs of real medical service project,the reform of the salary system,the reform of the medical insurance payment system,and the compensation mechanism of public hospitals.

关 键 词：RBRVS 公立医院 内部绩效管理 指标体系创新 

分 类 号：R197.322[医药卫生—卫生事业管理]