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  

Analysis on the construction of performance appraisal system of local public hospitals from the perspective of policy implementation

作　　者：谢士钰 刘静[2] 刘世蒙 柯雄 陈英耀[1] 杨肖光 XIE Shi-yu;LIU Jing;LIU Shi-meng;KE Xiong;CHEN Ying-yao;YANG Xiao-guang(NHC Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200032, China;School of Management, Hainan Medical University, Haikou Hainan 571199, China;School of Management, North Sichuan Medical College, Nanchong Sichuan 637007, China;Shaihai Jiao Tong University School of Medicine, Shanghai Jiao Tong University China Hospital Development Institute, Shanghai 200032, China)

机构地区：[1]复旦大学公共卫生学院国家卫生健康委员会卫生技术评估重点实验室,上海200032 [2]海南医学院管理学院,海南海口571199 [3]川北医学院管理学院,四川南充637007 [4]上海交通大学医学院上海交通大学中国医院发展研究院,上海200032

出　　处：《中国卫生政策研究》2021年第6期14-20,共7页Chinese Journal of Health Policy

基　　金：重庆市利用世界银行贷款项目(PRA9);教育部人文社会科学研究青年基金项目(19YJCZH217)。

摘　　要：公立医院绩效考核政策的实施是强化供给侧结构性改革、推动公立医院高质量发展的关键。研究以政策执行为理论视角,以政策实施综合模型为依据,解析地方政府实施公立医院绩效考核政策的内在逻辑,构建地方公立医院绩效考核的具体工作路径。通过对地方公立医院绩效考核具体案例的分析,发现在公立绩效考核政策实施的初期阶段,如何解读政策目标、行动者准入网络、地方机构和政策企业家的治理能力三个因素有效推动了公立医院绩效考核政策的落地和实施。提出地方在构建公立医院绩效考核体系时可通过数据采集信息化、第三方评估、考核计分优化、考核结果应用四个方面进行优化和完善。The implementation of the performance appraisal policy among public hospitals is the key to strengthening supply-side structural reforms and to promoting the high-quality development of public hospitals.From the theoretical perspective of policy implementation and based on the comprehensive model of policy implementation,this research analyzed the internal logic of local government's implementation of performance appraisal policies among public hospitals,and constructs specific work paths for the evaluation of local public hospitals'performance.Through the analysis of specific cases of performance appraisal of local public hospitals,the results of this study showed that in the early stage of the implementation of performance appraisal policies among public hospitals,three factors,namely,the policy objectives interpretation,the access network of actors,and the governance capabilities of local institutions and policy entrepreneurs effectively promote the implementation of performance appraisal policies among public hospitals.It is proposed that local governments should optimize and improve the performance appraisal system of public hospitals through four aspects of data collection informatization,third-party evaluation,evaluation and scoring optimization,and application of evaluation results.

关 键 词：政策执行 政策过程 公立医院 绩效考核 

分 类 号：R197[医药卫生—卫生事业管理]