北京市某区社区卫生服务中心内部绩效管理实践研究与效果评价  

Research and Effect Evaluation of Internal Performance Management Practice in Community Health Service Center in a District of Beijing

作　　者：甘静雯 巩亚楠 GAN Jingwen;GONG Yanan(Li Yuan Community Health Service Center,Liyuan Town,Tongzhou District,Beijing 101101,China)

机构地区：[1]北京市通州区梨园镇梨园社区卫生服务中心,101101

出　　处：《中国全科医学》2024年第16期1942-1949,共8页Chinese General Practice

基　　金：首都卫生发展科研专项项目(2018-3P-7082);北京市通州区卫生发展科研专项项目(TFZXPT-20180201)。

摘　　要：背景北京市制定了一系列社区卫生服务中心绩效管理方面的政策,多数社区卫生服务中心以考核为主,并未形成绩效管理体系。本研究在原有内部绩效考核体系的基础上,针对存在的问题完善绩效管理,形成一套适用于全区社区卫生服务中心的绩效管理体系。目的探讨绩效管理体系在社区卫生服务中心的内部实施效果。方法2019年本课题组对北京市通州区18所社区卫生服务中心的中心岗位设置、考核指标与权重、绩效反馈与改进等方面绩效管理现状进行基线调查。通过德尔菲专家咨询法确定绩效管理实施效果的评价指标,最终确定包含6个一级指标(服务数量、服务利用、服务质量、医务人员绩效评价、患者满意度和目标管理)、34个二级指标的《社区卫生服务中心内部绩效管理手册》(以下简称手册)。2021年对手册应用效果进行评价(服务数量、服务利用、服务质量、医务人员绩效评价、患者满意度和目标管理)。结果2020年重点工作的服务数量、服务利用和服务质量较上年度提高,除家庭医生签约率和老年人体检真实率略低于全区平均水平,其余指标均高于全区水平;医务人员绩效评价:医务人员认为工资与工作量比较匹配和非常匹配上升了29.8%;对中心发展目标、科室发展目标和个人本职工作重点的认知分别上升了15.6%、13.2%和2.6%;考核指标符合实际工作上升了20.6%;指标权重值和科室、占二次绩效分配合理分别上升了19.4%和8.3%;认为激励性较强增加了18.3%;绩效改进效果明显增加了18.1%;绩效管理总体满意度上升了11.8%。患者满意度:对慢性病管理、儿童健康管理、医务人员技术水平和就诊结果方面的满意度均有不同程度的提高。区级年终考核:除1中心排名未变,其余中心均名次提高。工资薪酬:在岗职工、医生、护士和预防保健人员年人均收入分别增长了5.2%Background At present,Beijing has formulated a series of performance management policies for community health service centers,most of which focus on assessment and have not yet formed a performance management system.At the same time,there are still many problems in performance management considering the actual work of the centers.On the basis of the original internal performance appraisal system,this study improved the performance management in view of the existing problems,formed a set of performance management system applicable to the district community health service center,provided a reference for the community health service centers to establish a scientific performance management system in the future,and promoted the development of community health service work.Objective To explore the effect of performance management in community health service center.Methods In 2019,this group conducted a baseline survey on the current status of performance management in terms of center position setting,assessment indicators and weights,performance feedback and improvement in 18 community health service centers in Tongzhou District,Beijing.The Delphi expert consultation method was used to determine the evaluation indicators of the implementation effect of performance management,and the Internal Performance Management Manual of Community Health Service Centers(hereinafter referred to as the Manual),which contains 6 first-level indicators(number of services,service utilization,service quality,medical staff performance evaluation,patient satisfaction,and target management)and 34 second-level indicators,was finally determined.2021,the evaluation of the application effect of the Manual was carried out(number of services,service utilization,service quality,medical staff performance evaluation,patient satisfaction,and target management).Results The service quantity,service utilization and service quality of key work in 2020 were improved compared with those of the previous year,except for the family doctor contract rate and the

关 键 词：社区卫生服务 绩效管理 效果评价 北京市 

分 类 号：R197.1[医药卫生—卫生事业管理]