公立医院绩效管理与运营成本的控制研究

Control Researches About the Performance Management and Operating Costs in the Public Hospitals

近年来,随着各类疾病治疗成本的增加,以及医院内部其他运营成本的提升,医院的发展举步维艰。厦门市公立医院经过十数年的改革发展,在医院运营成本管控方面,逐渐摸索出一些改革经验。厦门市公立医院领导层达成一致意见,认为响应“新医改”政策,首当其冲是缩控医院的运营成本,实现收支平衡,并将成本控制作为医院发展的基础性工作。本文立足于公立医院运营成本缩控视角,探讨绩效管理对公立医院运营成本控制的可行性与具体对策,包括正确看待公立医院绩效管理与运营成本控制工作、改善重盈利轻公益现象、完善绩效考核与评估机制等;希望本文能够在相关领域的研究与工作中提供一些帮助。

In recent years,the hospitals have difficulties in taking a further development step since the increases of the disease treatment costs and the hospital operating costs.With the reforms and advances for decades of years,the public hospitals in Xiamen city have concluded some experiences on the control of the hospital operating costs.The hospital leaderships also reach a consensus of responding to the“new medical reform”policy through cutting down the hospital operating costs and making both ends meet.The cost control is essential to the hospital development.In this paper,the decreases of the operating costs in the public hospitals are focused to discuss the practical feasibility and specific measures of performance management,for instance,the right perceptions of the hospital performance management and operating cost control works,the conversion from benefits first to public welfare,the completion of performance appraisal and assessment mechanism.It has been anticipated to offer assistance to the relevant studies and works.