基于RBRVS的某公立医院外科绩效工资改革路径解析

Implement Approach of the Performance Salary Reform in a Public Hospital Surgeons’ Performance Evaluation Based on RBRVS

绩效考核作为一项杠杆,对于撬动公立医院改革、规范医疗行为有着显著的作用。近年来,很多医院顺应国家医改的形势,对于医院内部的绩效工资分配制度进行了不同形式的改革和突破。改革的重点在于将医务人员的绩效工资与收入脱钩,转而以工作量和工作质量对绩效工资进行评价。以某公立医院为例,介绍基于以资源为基础的相对价值比率(Resource Baled Relative Value Scale,RBRVS)及思想在外科科室医生绩效改革方面的实践,并探讨了难点及对策。

Performance evaluation plays an important role in promoting medical reform and regulates medical behaviors. At present,many hospitals use different methods to reform the system of the performance distribution.The emphasis of the performance distribution reform is evaluating medical personnel’s behavior by workload and work efficiency instead of the medical income. The paper introduces the implement approach of the Resource Based Relative Value Scale(RBRVS) in a public hospital surgeons’ performance evaluation,and discuss the difficulty and countermeasure.