医生视角下公立医院绩效改革的效果：以重庆市某区级公立医院为例

The effect of all-new performance-payment reform based on doctors change in a district public hos- pital of Chongqing

本文以重庆市某区级公立医院为例，对绩效改革前后医生的的效率、质量、科研、新技术新项目、成本控制、患者负担等指标进行比较，发现实行绩效改革后，医生的工作积极性、效率和医疗服务质量都得到了提高，同时还增强了医生的科研能力、医疗技术水平和成本控制意识。在一定程度上减轻了患者的费用负担，缓解了医患矛盾，也提高了医院的人才凝聚力，增强了医院的核心竞争力。

This research focused on the doctors＇ changes based on the performance-payment reform from a district public hospital of Chongqing. The work compared the doctors＇ work efficiency, medical quality, scientific research, new technology and new project, cost control and patients burden. Performance-payment reform significantly activated doctors＇ self-study initiative and quality. The main running quotas of hospital, including stuff＇s positivity, work efficiency, medical quality, scientific research, new technology and new project, presented a better improvement trend. This not only reduced the patient cost burden, relieved the doctor-patient relationship, but also improved the hospital personnel cohesion, and strengthened the core competitiveness of the hospital.