“国考”与DRGs支付政策双重驱动下公立医院绩效管理体系  

Research on performance management system in public hospitals under the dual drive of national civil service examination and DRGs payment policy

作　　者：董婷婷 夏静[1] 樊檬璐 王思渊 陈力苗 徐婉瑈[1] 毛文[1] DONG Tingting;XIA Jing;FAN Menglu;WANG Siyuan;CHEN Limiao;XU Wanrou;MAO Wen(Children’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center For Child Health,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院/国家儿童健康与疾病临床医学研究中心,浙江杭州310052

出　　处：《现代医院》2024年第7期1075-1078,共4页Modern Hospitals

基　　金：浙江省教育厅一般科研项目(自然科学类)(Y202045828);浙江省卫生经济学会(2023ZWJXH003)。

摘　　要：目的在国家三级公立医院绩效考核和DRGs支付政策改革双重影响下探索公立医院运用绩效管理抓手,实现提质增效、高质量发展的路径。方法本文首先运用问卷调研法对我国公立医院实施绩效考核的现状与问题进行总结,围绕问题提出绩效管理体系升级方案,并运用关键指标法在某医院中进行考核指标重新遴选。结果通过在某医院中进行实证研究,证明升级后的绩效管理体系对医院管理提升有一定正面效果。结论公立医院应当从组织定位、指标设计、管理抓手、人才队伍等方面建立绩效管理长效机制,为高质量发展持续助力。Objective to explore the use of performance management as a lever in public hospitals to achieve quality improvement,efficiency enhancement,and high-quality development under the dual influences of national civil service examination and Diagnosis-Related Groups(DRGs)payment policy reform.Methods A questionnaire survey was conducted to summarize the current situation and problems of performance assessment in public hospitals in China.Based on the identified problems,an upgraded performance management system was proposed,and key indicators were selected through a case study in a specific hospital.Results An empirical study in a specific hospital demonstrated the positive effects of the upgraded performance management system on hospital management improvement.Conclusion Public hospitals should establish a long-term mechanism for performance management,focusing on organizational positioning,indicator design,management levers,and talent development,to continuously support high-quality development.

关 键 词：三级公立医院 DRGs支付政策 绩效考核 运营管理 高质量发展 

分 类 号：R197[医药卫生—卫生事业管理]