乡镇卫生院的矩阵式组织设计与岗位绩效管理

Matrix organizational design and job performance management of township healthcare centers

以义乌市苏溪中心卫生院为主要实际背景，分析了我国乡镇卫生院承担社区公共卫生和基本医疗双重职能的现实使命和组织特点，设计了一种基于矩阵式的乡镇卫生院组织结构及其岗位绩效管理模式。①矩阵式组织结构的双重维度分别是医疗业务科室和社区联村医生组，分别并协同承担基本医疗和公共卫生服务职能；②基于组织结构和职能确定岗位设置，每个岗位均承担双重岗位职责，用岗位说明书和目标责任书进行管理；③岗位的目标责任书来自医疗业务科室和联村医生组目标责任书的分解，而医疗业务科室和联村医生组目标责任书来自卫生院平衡记分卡的分解；④卫生院平衡记分卡基于卫生院的战略使命和发展规划。整个组织设计及其岗位绩效管理建立在战略导向和科学规范的工作基础之上。

Taking Suxi Healthcare Center in Yiwu City, Zhejiang province as an example, the paper analyzed the present mission and organizational characteristics of township healthcare centers in China, especially their dual functionality of community public health and primary medicare. Based on such analysis, it designed a matrix-based model for organizational structure and job performance management for such healthcare centers. The features are as follows： 1） The two dimensions of the matrix structure refer to the departments for medical treatment and the multi-village doctors team in the community, respectively and jointly offering primary medicare and public health services; 2） Jobs are designed based on the organizational structure and functionality. Every job carries out dual functions as described and managed by the job description and target responsibility certificate; 3） The job responsibility certificate is a breakdown of the balanced scorecard of the healthcare center, as divided between the departments for medical treatment and the multi-village doctors team; 4） The balanced scorecard of the township healthcare center is designed based on its strategic mission and developing plan- The entire organizational design and management of the center are built on the strategic orientation and logical programmed research.