临床医师薪酬分配与绩效实证研究

Empirical Research on Payment Distribution and Performance for Clinicians

目的研究基于绩效的临床医师薪酬分配办法和适当拉开薪酬差距是否能有效提升医院的绩效水平。方法采用变异系数衡量临床医师的薪酬差距,采用对照研究的方法评估医院的绩效提升水平。结果外科医师薪酬差距拉开幅度最大,其余依次为儿科、内科和医技科,2006—2010年医院绩效优于对照医院。结论通过薪酬分配制度改革的实践,基于绩效适当拉开薪酬差距,激发临床医师的积极性,增强医疗团队活力,提高绩效水平,提升医院综合实力。

Objective To study if the hospital performance level could be effectively improved by the performance- based pay distribution system for clinicians and reasonably distancing the pay gap. Methods To measure the pay gap be- tween clinicians with coefficient of variation and assess the leVel of the hospital performance and effectiveness by using control study. Results The pay gap among surgeons has been largely distanced and then ranked by pediatricians, physi- cians and medical technicians. Compared with the control hospitals, the hospital performance level from 2006 to 2010 has been significantly improved. Conclusion Through the practice of pay distribution system reform, by appropriately dis- tancing the pay gap based on performance, the activeness of clinicians should be stimulated, the vitality of medical teams be enhanced, the performance level be improved and the hospital comprehensive strength be increased.