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中国初级卫生保健:2025,39(3):6-11
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“院办院管”模式下基层医疗卫生机构工作量标化与质效评价相结合的绩效考核体系构建
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中文摘要: 摘 要:目的:进一步探讨“院办院管”模式下基层医疗卫生机构工作量标化的方法,并建立工作量标化与质效评价相 结合的内部绩效考核体系。方法:2023 年 4 月—2023 年 12 月,以广州市某社区卫生服务中心为例,通过问卷调查及专家咨 询,从实施服务项目所消耗的人力和时间、难度、风险程度 3 个维度,评定各医疗卫生服务项目的标化工作量;通过德尔菲 法,建立该中心工作质量和效果评价的考核指标体系;在此基础上,构建工作量标化与质效评价相结合的绩效考核体系。结 果:该中心建立了医疗卫生服务项目标化工作量点值库及该中心工作质量和效果评价的考核指标体系,进而建立了绩效考核 体系并提出了其在奖励性绩效核算与分配中的应用构想。结论:工作量标化与质效评价相结合的考核体系更适用于基层医疗 卫生机构内部绩效考核,有利于推进医联体一体化绩效考核。
Abstract:Abstract: OBJECTIVE To further explore the methods of workload standardization in primary health service institutions based on the model of “hospital-establishing and hospital-managing” and establish an internal performance evaluation system that combines workload standardization with quality and efficiency evaluation. METHODS From April 2023 to December 2023, taking the a Certain Community Health Service Center in Guangzhou as an example, the standardized workload of each medical and health service project was evaluated through questionnaires and expert consultations from three dimensions: labor and time consumed, difficulty, and risk level in implementing service projects. Construct an evaluation index system for the quality and effectiveness of the center’ s work through the Delphi method. On the basis, a performance evaluation system combining workload standardization and quality and efficiency evaluation would be constructed. RESULTS A standardized workload point value database for the medical and health service projects of the center was established, as well as an evaluation index system for the quality and effectiveness of the center’ s work. Furthermore, a performance evaluation system was established, and its application concept in incentive performance accounting and distribution was explored. CONCLUSION The assessment system combining workload standardization and quality and efficiency evaluation is more suitable for internal performance evaluation of primary medical and health service institutions and beneficial to promote the integrated performance appraisal of the medical treatment combination.
文章编号:3202410002     中图分类号:R197    文献标志码:
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