公立医院薪酬分配与薪酬预算

Public hospital salary and salary budget allocation

随着医改的进一步深化,充分调动医务人员积极性,加快建立符合医疗卫生行业特点的薪酬制度迫在眉睫。近3年医疗卫生行业主推全面预算管理方法,笔者试图在克服公立医院现有不合理薪酬分配的基础上,运用预算的原理和方法设定公立医院工资总额预算额度,并推导出绩效工资预算额度和分配方法,体现科学性、公平性、合理性,改变公立医院薪酬分配的粗放管理状态。最终设计了以全面预算为基线的薪酬分配模式,该模式以6个维度为基础框架,辅以多种指标对薪酬分配进行考核,继承历史,符合当前医改政策要求,同时也为公立医院薪酬策略的制定提供有意义的参考。

With the development of healthcare reform, it is very important to make effective incentive mechanism and build healthcare industry characteristics salary system. In current 3 years, comprehensive budget system was promoted in health industry. Based on the theory and practice of comprehensive budget system and based on smoothing the existing problems in salary system, new salary allocation system includes global salary budget, global performance salary budget and the mechanism of salary allocation which reflects the scientificity, equity and rationality is designed. Comprehensive budget based salary allocation mode which involves 6 dimensions and a series of assessment index matches the requirement of healthcare reform and gives references for public hospital salary system reform.