医院内部绩效管理的特征、误区及策略探讨

Discussion on the Characteristics,Misunderstandings and Strategies of Performance Management in Hospitals

针对医院内部绩效管理实践呈现的工作内容专科性强、工作价值难以度量、诊治工作协同性强、外部改革政策多等4个特征,剖析实践过程中的误区和对应的具体策略。结果发现,医院内部绩效管理实践过程中存在4个方面的误区:一是强化院科一次分配,淡化科室内部二次分配;二是强化业绩目标的设定,淡化流程和资源等策略联动;三是强化财务指标核算,淡化诊疗技术管理;四是强化职能部门管控,淡化业务部门的自我管理。针对医院绩效管理的4个特征和实践过程中4个方面误区,围绕专病建设调动价值创造力,提出策略和建议。

The characteristics of hospital performance management,including strong specialty,difficult to measure value,strong synergy and many policies,are explored to analyze the misconceptions in practice and propose specific strategies.There are four misunderstandings in practice:strengthen the management of departments in the hospital,weaken the internal management of the department;strengthen the setting of performance objectives,dilute changes in processes and resources;strengthen the accounting of financial indicators,desalination of diagnosis and treatment technology management;strengthen management and control,weaken the self-management of clinical departments.Based on the four characteristics and four misunderstandings in the process of practice,it focuses on promoting the value labor in the construction of specialized diseases,and proposing the strategies and suggestions.