主诊医师负责制模式下副主任医师绩效考核分析

Analysis of performance appraisal for associate chief physicians in the mode of attending in charge

目的利用基于HIS系统建立的医师考核系统，对实施主诊医师负责制管理模式的临床科室副主任医师进行年度考核。方法选择医院实施主诊医师负责制管理模式的12个科室74名副主任医师以上职称医师作为研究对象，按照副主任医师绩效考核指标体系要求进行考核，通过头脑风暴法、专家咨询等方法确定考核内容、考核标准及计分方法。工作效率指标、工作数量指标均通过HIS系统直接获取，操作过程中需结合临床实际处理具体细节问题，最后通过HIS系统进行各指标成绩汇总，并自动计算出该医师的总分数。采用SPSS13．0进行频率、百分比等描述性分析。结果汇总分析全部74名医师考核总成绩及各一级指标成绩，分别汇总内科系及外科系科室承担主诊医师职责的副主任以上职称医师及承担副主诊医师职责的副主任医师考核成绩，并分别进行排序，考核成绩基本反映医师的整体水平。结论主诊医师绩效考核体系为提升医院人力资源管理水平提供了有力依据；为不断完善主诊医师负责制管理模式下的绩效考核体系奠定了基础。

Objective This study is based on the physicians＇ appraisal system upon HIS system to annually assess the associate chief physicians in clinical departments in the mode of attending in charge. Methods 74 doctors above the title of associate chief physician from 14 departments in such mode were selected as objects of study and evaluated upon relative requirement of the performance appraisal index system by means of brainstorming, expert consulting and so on to confirm the content, standard and scoring method of appraisal. Work efficiency index and work amount can be acquired out of HIS system, while details and problems during the assessment can be dealt together with clinical practice. Finally all index and results were collected through HIS system and total scores of relative doctor can be automatically calculated. SPSS 13. 0 statistics software also can be used to descriptively analyze the frequency and percentage data. Results The total appraisal scores and scores in every grade of the 74 doctors, who are attending in charge with title above associate chief physician as well as bearing the same responsibility in both medicine and surgery department, were collected, analyzed and respectively ranked respectively. Conclusion The results of appraisal basically indicate general level of the doctors, as well as provide strong evidence for enhancing human resource management of the hospital, which will continuously improve the basis for assessment to performance of associate chief physician under mode of attending in charge, as well as collect experiences for deeply optimizing program of assessment system.