医改视角下县级医院绩效考核研究

Analysis on the County- level Hospital Performance Appraisal from the View of Medical Reform

公立医院改革形势下县级医院绩效考核需要做出全新的变革。绩效考核常用方法有平衡积分卡法、关键绩效指标法、目标管理法、行为锚定等级评价法以及按资源相对价值比率绩效支付等国内外运用的新方法。县级医院绩效考核存在公益性体现不足、缺乏创新难以适应环境变化要求等缺陷,应当打破单纯以科室收支结余为绩效核算基础的传统设计,注重医院员工参与,从而发挥绩效考核的激励和导向作用。

Performance appraisal function significantly for county - level hospital, which improve employee＇ s motivation （activity） and hos- pital management level. Innovation should be applied to county - level hospital performance appraisal under the situation of public hospital reform. Methods applied to performance apprasial include Balanced Score card Method, Management by Objective, Key Performance Indicators, Critical Incident Method and Behaviorally Anchored Rating Scale et al. Lack of reflection of public welfare and being difficnlt to adapt to environmental changes mainly reflected the current situation of county - level hospital performance appraisal. From a long - term perspective, the performance accounting basis of county - level hospital should not be only balance of financial revenue and expenditure. At the same time, medical staff ought to participate in the process of performance appraisal, so incentive and guiding role of performance appraisal is fully played.