基于“两个允许”背景下某公立医院薪酬改革的实践研究  

Practice study on salary reform of a public hospital based on“Two Permissions”

作　　者：加瑞[1] 杜新宇[1] 马佳[1] 赵昶[1] JIA Rui;DU Xinyu;MA Jia;ZHAO Chang(Affiliated Bering Anzhen Hospital of Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院,北京100029

出　　处：《卫生软科学》2023年第1期4-6,11,共4页Soft Science of Health

摘　　要：回顾了“两个允许”的涵义及在全国各地的实施现状,介绍了北京市某三甲公立医院认真贯彻落实“两个允许”要求,对体现激励作用的绩效奖金计算方案和内部分配办法进行了改革。该院启用RBRVS内部绩效方案,规范绩效内部分配制度,医务人员工作积极性得到提高,增强了科室管控成本的意识,为医院可持续发展奠定了基础。结合该院薪酬改革过程中遇到的问题提出等建议要合理确定医务人员薪酬水平,调整收入结构,加大保障性收入占比,统筹编外人员绩效工资总量。This paper reviews the connotation of“Two Permissions”and its implementation status in different part of the country.It introduces the earnest implementation of the“Two Permissions”requirement in a top three public hospital in Beijing,and reforms the calculation scheme and internal distribution method of performance bonus which reflects the incentive effect.This hospital used RBRVS internal performance scheme to standardize the internal performance distribution system.The work enthusiasm of medical staff was improved,and the consciousness of department cost control was enhanced,which established the foundation for the sustainable development of the hospital.It also puts forward suggestions combined with the problems encountered in the process of salary reform of the hospital,including determining the salary level of medical staff reasonably,adjusting the income structure,increasing the proportion of security income,and the total amount of performance salary for the extrinsic staff should be planed as a whole.

关 键 词：公立医院 两个允许 RBRVS 薪酬改革 

分 类 号：R197.3[医药卫生—卫生事业管理]