公立医院实施年薪制的相关问题探讨

A discussion on the annual compensation system reform in public hospital

作为一种新的薪酬支付方式,年薪制很好地解决了企业经营管理中的委托代理问题。当前我国部分省市在公立医院改革中大力推进年薪制改革以缓解公立医院趋利性。为此,文章首先介绍了年薪制的内涵,然后结合国内公立医院薪酬分配激励机制现状,分析论证当前我国公立医院有必要开展年薪制改革,操作年薪制改革的可行性,但在推行年薪制改革时也需要注意诸如人员经费,如何调动服务积极性以及规范服务行为等问题。

As a new salary distribution system, annual compensation system is employed to encourage the managers to improve the performance, which is proven to be a perfect way to solve the principal-agent problem.Nowadays, more and more policy makers are tend to carry annual compensation system in public hospital reform to strengthen the welfare and efficiency of public hospitals. This paper firstly introduced the concept of annual compensation system. Then, discussions were carried out on the necessity and feasibility of annual compensation system in public hospitals. Finally, due attention should be paid to three issues： how to fill the funding gap of salary, how to promote the enthusiasm of service provision and how to avoid unreasonable behavior of service providers.