政策视角下我国公立医院薪酬制度存在的问题及思考

Problems and Reflections on Salary System of Public Hospitals in China from the Policy Perspective

目的:梳理我国公立医院薪酬制度改革的相关政策,总结公立医院薪酬政策在制定过程中的不足之处,为后续薪酬制度的调整和优化提供借鉴和参考。方法:基于政策一致性(PMC)指数模型,对公立医院薪酬政策进行收集与预处理,利用文本挖掘方法进行高频词提取,构建公立医院薪酬政策的评价指标体系。通过计算PMC指数以及一级变量的得分情况,分析各项政策存在的共性问题,并提出针对性建议。结果:12项公立医院薪酬政策PMC指数平均值为6.00,政策总体质量为良好,但仍有较大改进空间。主要存在的共性问题是政策内外部联动性不足、忽视非经济性薪酬的激励作用以及薪酬结构不合理等问题。结论:政策视角下,我国公立医院薪酬制度改革是一项系统性工程。建议在后续政策制定过程中以整体性思维为指导,增强政策的内外部协同性、重视非经济性薪酬的激励作用以及优化薪酬结构,以促进公立医院薪酬制度改革的稳步运行。

Objective:It sorts out the relevant policies of China's public hospital salary system reform,summarizes the short-comings of public hospital salary policy in the process of formulation,and provides references for the subsequent adjustment and opti-mization of salary system.Methods:Based on Policy Modeling Consistency(PMC)index model,public hospital salary policies were collected and preprocessed,high-frequency words were extracted by text mining method,and an evaluation index system of sal-ary policies of public hospitals was constructed.By calculating the score of PMC index and first-level variables,the common prob-lems of various policies are analyzed,and specific suggestions were put forward.Results:The average PMC index of 12 public hos-pital compensation policies was 6.00,the overall quality of the policies was good,but there was still much room for improvement.The main common problems are the lack of internal and external linkage,the neglect of the incentive function of non-economic com-pensation and the unreasonable compensation structure.Conclusion:From the perspective of policy,the reform of public hospital salary system is a systematic project.It is suggested to take holistic thinking as the guide in the follow-up policy making process,en-hance the internal and extemal coordination of the policy,attach importance to the incentive role of non-economic compensation and optimize the salary structure,so as to promote the steady operation of the salary system reform of public hospitals.