基于精益理论的北京市三级公立医院绩效动态评价研究  

Research on the Influence Mechanism of Dynamic Performance Evaluation in Tertiary Public Hospitals in Beijing Based on Lean Theory

作　　者：农定国 陈航[2] 蔡媛青 王文娟[4] 金卫昕 NONG Ding-guo;CHEN Hang;CAI Yuan-qing(Health Department,Beijing Municipal Commission of Health,Beijing,100053,China)

机构地区：[1]北京市卫生健康委保健处,北京100053 [2]首都医科大学附属北京地坛医院,北京100011 [3]清华大学公共管理学院,北京100084 [4]中央财经大学政府管理学院,北京100081

出　　处：《中国卫生经济》2021年第10期60-64,共5页Chinese Health Economics

基　　金：国家自然科学基金项目(71473284);国家卫生健康委能力建设和继续教育中心课题(1001)。

摘　　要：运用精益管理理论中的"DMAIC"过程,包括定义、分析、测量、改进和控制,运用过程追踪法分析北京市医院管理中心对市属22家三级医院的绩效动态评价,包括绩效动态评价开创探索阶段,绩效动态评价调整深化阶段,绩效动态评价精益管理阶段。研究发现通过实施绩效动态评价,医院公益性得到较好体现,患者满意度不断提升,医疗服务保持高位运行,医疗服务质量不断提升。建议实施绩效动态评价,提升医院公益性水平;抓住医疗服务主体,理顺医疗服务关系;把握医疗服务特征,用好信任品供需机制。Based on lean management theory,it analyzed DMAIC process(definition,analysis,estimation,improvement and control) of the Beijing Hospital Authority s dynamic performance evaluation of 22 municipal tertiary hospitals,including the exploration stage of dynamic performance evaluation,the adjustment and deepening stage of dynamic performance evaluation,and the lean management stage of dynamic performance evaluation.Through the implementation of dynamic performance evaluation,it was found that the public welfare of the hospital has been well reflected,patient satisfaction has been continuously improved,medical services have been maintained at a high level,and the quality of medical services has been continuously improved.It proposes to implement dynamic performance evaluation to improve the public welfare level of hospitals;grasp the main factor of medical service and straighten out the relationship of medical service;grasp the characteristics of medical service and make good use of the supply and demand mechanism of trust products.

关 键 词：公立医院 绩效动态评价 精益管理理论 北京 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F224.5[经济管理—国民经济]