CAJ | 학술논문

本文在建立以公益性为核心的公立医院绩效评价体系的基础上，通过回顾我国公立医院财政补助政策与医保支付制度的发展历程，及对其存在问题的分析，根据公立医院年度绩效考核的得分，将医院绩效分为A、B、C、D四个等级，建立以绩效考核结果与政府财政投入、医保预算增量基金、医院工资总额挂钩的补偿机制，发挥绩效考核的指挥棒和经济杠杆作用，推进公立医院科学化、精细化、专业化管理，引导公立医院坚持公益性的办院方向。
본문재건립이공익성위핵심적공립의원적효평개체계적기출상，통과회고아국공립의원재정보조정책여의보지부제도적발전역정，급대기존재문제적분석，근거공립의원년도적효고핵적득분，장의원적효분위A、B、C、D사개등급，건립이적효고핵결과여정부재정투입、의보예산증량기금、의원공자총액괘구적보상궤제，발휘적효고핵적지휘봉화경제강간작용，추진공립의원과학화、정세화、전업화관리，인도공립의원견지공익성적판원방향。
A commonweal-centered performance evaluation system was established for public hospitals . The development process and problems were analyzed in financial subsidy policy and healthcare payment system for the public hospitals.Then the author proposed to divide public hospitals into four grades as A , B, C, D according to the annual performance evaluation scores .Thereafter , the reimbursement system will be established of govern-ment finance investment , incremental increase in healthcare budget , and total wage costs in public hospitals .Thus we can make use of performance evaluation results to promote the scientific , meticulous , and professional manage-ment of the public hospitals .