公立医院外科护理单元绩效薪酬分配方案探索  

Research on Optimization of Performance Salary Distribution Scheme in Surgical Nursing Unit of Public Hospital

作　　者：阿尔孜古丽·热合曼[1] 吴娜 陈霞[1] ARZIGULI Rehoman;WU Na;CHEN Xia(First Affiliated Hospital,Xinjiang Medical University,Urumq,830011,China)

机构地区：[1]新疆医科大学第一附属医院,新疆乌鲁木齐830011

出　　处：《中国社会医学杂志》2024年第6期767-771,共5页Chinese Journal of Social Medicine

基　　金：新疆维吾尔自治区自然科学基金项目(2020D01C241)。

摘　　要：目的构建外科护理单元绩效薪酬分配方案,探讨不同方案优势、劣势,为丰富考核体系提供参考。方法通过专家函询,构建以工作量为基础的外科系统护理项目与相对价值单位(relativevalueunit,RVU)绩效点值,分别形成以疾病及诊断相关分组(diagnosisrelatedgroups,DRGs)、RVU、DRGs和RVU为绩效点数调整参数的三类外科护理单元绩效薪酬分配方案。结果22个外科护理单元护理疾病可分入820个DRG病组,37.27组/护理单元;心脏外科重症病房、神经外科重症监护病房、小儿外科RVU均数最高,美容整形外科、颌面外科、产科RVU均数最低。以DRGs、RVU、DRGs和RVU为测算方案得到的绩效点数分别是1180.36、1856.28、1510.58。结论DRG突出护理难度差异,但不适用于周转患者护理绩效评价;RVU适合对护理流程复杂的护理单元绩效进行评价,但不利于成本控制;RVU和DRG突出了护理难度与技术价值,可以此为导向,建立护理绩效分配新秩序。Objective To construct the performance salary distribution scheme of surgical nursing unit,to explore the advantages and disadvantages of different schemes,and to provide reference for enriching the assessment system.Methods Through expert correspondence,the performance point value of surgical system nursing items and relative value unit(RVU)based on workload was constructed,and three types of surgical nursing unit performance compensation allocation schemes were formed with disease and diagnosis-related groups(DRGs),RVU,DRGs and RVU as performance point adjustment parameters.Results The nursing diseases of 22 surgical nursing units can be divided into 820 DRG disease groups,37.27 groups/nursing unit;The average number of RVUs in cardiac surgery intensive care unit,neurosurgery intensive care unit and pediatric surgery was the highest,while the average number of RVUs in cosmetic plastic surgery,maxillofacial surgery and obstetrics was the lowest.With DRGs,RVU,DRGs and RVU as the measurement scheme,the performance points obtained were 1180.36,1856.28 and 1510.58 respectively.Conclusion DRG highlights the difference in nursing difficulty,but is not applicable to the evaluation of nursing performance of turnover patients;RVU is suitable for evaluating the performance of nursing units with complex nursing processes,but it is not conducive to cost control;RVU and DRG highlight the difficulty and technical value of nursing,which can be used as a guide to establish a new order of nursing performance distribution.

关 键 词：公立医院 外科护理单元 绩效方案 

分 类 号：R197.323[医药卫生—卫生事业管理]