基于“两切断、一转变”的医院绩效考核和分配制度改革实践与探索  

Practice and Exploration of the Reform of Performance Appraisal and the Distribution System of a Hospital Based on“Two Breaks and One Change”

作　　者：王汉松[1,2] 黄瑾 余嘉俐 赵列宾 傅丽娟[1] WANG Han-song;HUANG Jin;YU Jia-li(Shanghai Children’s Medical Center,Shanghai Jiaotong University School of Medi-cine,Shanghai,200127,China;不详)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心,上海200127 [2]上海交通大学中国医院发展研究院儿童健康管理研究所,上海200127

出　　处：《中国医院管理》2020年第11期14-17,共4页Chinese Hospital Management

基　　金：国家卫生健康委卫生发展研究中心项目(2019-18);上海交通大学中国医院发展研究院项目(CHDI-2017-A-06,CHDI-2018-A-18)。

摘　　要：目的基于"两切断、一转变"的核心理念,探索医院内部绩效考核和分配制度改革。方法采用文献分析和专家咨询为绩效考核和分配改革提供依据,采用回顾性分析和问卷调查分析改革的成效。结果在梳理绩效管理组织架构和完善绩效管理制度及规范的基础上,调整了绩效考核指标体系及权重,构建了点数点值乘积法绩效分配模型,探索建立了以岗位工作量和工作难度为基础,以服务质量、服务效率、成本控制、医德医风、科研教学、病人满意度等核心指标的考核评分为系数的绩效考核分配办法。结论绩效考核和分配制度改革基本得到了临床科室的认可和支持,调动了医护人员的积极性,各项业务指标呈良性发展趋势。Objective Based on“two breaks and one change”,to explore the reform of hospital internal performance assessment and distribution system.Methods Literature analysis and expert consultation were applied to provide the basis for the reform of performance assessment and distribution system reform.Results of the reform were evaluated by retrospective analysis and questionnaire analysis methods.Results Based on the review on the structure of the performance administrative organization and the perfection on the performance management system and the regulation,adjustments on the performance evaluation system and the weight are applied,the dot method model for performance distribution model is built.Performance assessment rules based on the workload and difficulty of a position and assessment on the eight-core assessment are created,including service quality,service efficiency,cost control,medical ethics,scientific research and teaching and patient satisfaction,etc.Conclusion Basically,the reforms receive the recognition and support of clinical departments.It encourages the enthusiasm of the staff,and all business indicators of the hospital show a positive development.

关 键 词：绩效考核 分配 改革 医院 

分 类 号：R197.32[医药卫生—卫生事业管理]