我国社区卫生服务机构绩效考核中的问题分析

Analysis of the problems in implementing performance evaluation on Community Health Service institutions

绩效考核在我国最早应用于企业。自2000年WHO倡导卫生系统绩效考核以来,我国在卫生领域开始了实践。我国的社区卫生服务起步较晚,近两三年才开始探索社区卫生服务机构绩效考核。由于缺乏成熟的经验,各地在实践中存在许多问题,主要包括:绩效考核定位和职责分工不明;考核工具与方法不完善;考核结果的反馈与激励约束机制尚未建立;开展绩效考核工作相关的制度环境尚未健全。由于社区卫生服务机构绩效考核是一项复杂、规范、专业性很强、技术含量高的工作,未来需要在绩效考核的定位,绩效考核工具的设计和组织实施的全过程中既要有系统的眼光和思维,又要不断实践探索和勇于创新,由此才能有效规范落实绩效考核工作。

Performance evaluation is firstly applied in enterprises in China.Since performance evaluation on health system was endorsed by WHO in 2000,we have begun to practice performance evaluation in health field.Community Health Service（CHS） was introduced in China very late and its performance evaluation was newly explored in recent 2 to 3 years.Because of lacking successful experiences,many such problems emerged in local practice as：absent from definite evaluation orientation and responsibilities for the evaluators,flawed evaluation tools and methods,lack of feedback,incentive and restriction mechanisms,and inadequate institutional environment for implementing performance evaluation.As performance evaluation on CHS institutions is a complex and professional task with high standard of technology,systematic visions and thoughts as well as continuous practice and brave exploration for innovation are needed in terms of orienting performance evaluation,designing the appraisal tool and organizing and implementing performance evaluation in the future,so as to efficiently and regularly carry out this work.