基于DRG与RBRVS的公立医院绩效薪酬模式研究

Study on the Performance Salary Model in Public Hospitals based under on DRG and RBRVS

目的:探索建立基于DRG与RBRVS的公立医院绩效薪酬模式。方法:对S医院基于DRG与RBRVS的绩效薪酬方案进行分析与效果评价。结果:绩效薪酬改革后,医生、护理、医技、医辅各序列人员的绩效薪酬水平均有不同程度提升,职工对薪酬的满意度较高(3.20±0.17分);医院精细化管理水平提高,全面推动了高质量发展。结论:基于DRG与RBRVS的公立医院绩效薪酬模式突出了知识价值的导向作用,强化了激励效应,既符合当前国家薪酬制度改革的要求,又支撑了医院的战略发展,但仍需不断改进和完善,并根据社会经济的发展和政策的变化不断进行动态调整。

Objective To explore the establishment of a performance salary model in public hospitals based on DRG and RBRVS.Methods The performance salary program based on DRG and RBRVS in S hospital was analyzed and evaluated.Results After the performance salary reform,the performance salary levels of doctors,nurses,medical technicians,and medical assistants had been improved to varying degrees,and the salary satisfaction of medical staff was high(3.20±0.17 points).The level of refined management in the hospital had been improved,and high-quality development has been comprehensively promoted.Conclusion The performance salary model based on DRG and RBRVS in public hospitals highlights the orienting role of knowledge value,and strengthens the incentive effect,which not only meets the requirements of the current national salary system reform,but also supports the strategic development of the hospitals.However,it is necessary to continuously improve and perfect the performance salary model,and constantly and dynamically adjust it according to the development of social economy and changes in policies.