CAJ | 학술논문

为进一步深化公立医院改革，北京友谊医院率先实行取消“药品加成”、设立医事服务费的“医药分开”试点工作。医院根据公立医院运行特点，结合自身实际情况，探索建立基于医疗成果的岗位管理绩效考核与分配新机制。此次改革改变了既往以财务收支结余为基础的核算方式，在门诊和住院单元分别实施以门诊人次、门诊医疗行为赋值、住院人次、技术难度（CMI）为核心指标的绩效考核与分配制度，力求通过新机制的建立引导医务人员合理增加医疗产出和收入。
위진일보심화공립의원개혁，북경우의의원솔선실행취소“약품가성”、설립의사복무비적“의약분개”시점공작。의원근거공립의원운행특점，결합자신실제정황，탐색건립기우의료성과적강위관리적효고핵여분배신궤제。차차개혁개변료기왕이재무수지결여위기출적핵산방식，재문진화주원단원분별실시이문진인차、문진의료행위부치、주원인차、기술난도（CMI）위핵심지표적적효고핵여분배제도，력구통과신궤제적건립인도의무인원합리증가의료산출화수입。
In order to further and deepen the reform of public hospitals, Beijing Friendship Hospital become the first hospital taking reform of separating medical care from pharmaceuticals through canceling drug addition and setting up medical service fee. According to the operation characteristics of public hospital, we explore to establish a new mechanism of performance appraisal and distribution based on the post management of medical achievements. The reform changed the accounting method based on the balance of financial income and expenditure. And in the outpatient and inpatient units,we respectively set outpatient visits, outpatient behavioral assignment, inpatient and CMI as the core indicators of performance appraisal and distribution system. The new mechanism will guide the medical staff increase medical output and income reasonably.