中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2015年
2期
223-226
,共4页
胡新业%蒲川%林幻%邓梦露%杨玲%颜星
鬍新業%蒲川%林幻%鄧夢露%楊玲%顏星
호신업%포천%림환%산몽로%양령%안성
公共卫生工作%卫生保健质量%医院管理%量化考核
公共衛生工作%衛生保健質量%醫院管理%量化攷覈
공공위생공작%위생보건질량%의원관리%양화고핵
Public health practice%Quality of health care%Hospital administration%Quantitative evaluation
提升乡、村两级基层医疗卫生机构的服务能力是新医改中“强基层”的重要体现。重庆市于2010年12月在全市实施基层医疗卫生机构绩效考核，九龙坡区结合自身“大城市，大农村”的特点，积极探索绩效管理方法，通过试点总结，推行“公益定向、以岗定责、标量比对、量质挂钩、多元激励、持续改进”的方案，量化岗位工作指标，制定绩效考核体系，通过综合考核测定各项工作的分值，并作为绩效工资分配的依据。自九龙坡区实施岗位绩效以来，有效激发了基层医务人员的工作积极性，基本医疗和公共卫生服务的数量、质量及居民满意度均有提升。本文通过对重庆市九龙坡区基层医疗机构岗位绩效管理机制的实践过程进行分析，包括考核的思路、考核的方法和考核结果的运用、考核实施效果及存在问题，侧重分析量化考核，探讨适合基层卫生机构绩效考核实施、易操作且有效的管理方法，为其他地区提供参考借鉴作用。
提升鄉、村兩級基層醫療衛生機構的服務能力是新醫改中“彊基層”的重要體現。重慶市于2010年12月在全市實施基層醫療衛生機構績效攷覈，九龍坡區結閤自身“大城市，大農村”的特點，積極探索績效管理方法，通過試點總結，推行“公益定嚮、以崗定責、標量比對、量質掛鉤、多元激勵、持續改進”的方案，量化崗位工作指標，製定績效攷覈體繫，通過綜閤攷覈測定各項工作的分值，併作為績效工資分配的依據。自九龍坡區實施崗位績效以來，有效激髮瞭基層醫務人員的工作積極性，基本醫療和公共衛生服務的數量、質量及居民滿意度均有提升。本文通過對重慶市九龍坡區基層醫療機構崗位績效管理機製的實踐過程進行分析，包括攷覈的思路、攷覈的方法和攷覈結果的運用、攷覈實施效果及存在問題，側重分析量化攷覈，探討適閤基層衛生機構績效攷覈實施、易操作且有效的管理方法，為其他地區提供參攷藉鑒作用。
제승향、촌량급기층의료위생궤구적복무능력시신의개중“강기층”적중요체현。중경시우2010년12월재전시실시기층의료위생궤구적효고핵，구룡파구결합자신“대성시，대농촌”적특점，적겁탐색적효관리방법，통과시점총결，추행“공익정향、이강정책、표량비대、량질괘구、다원격려、지속개진”적방안，양화강위공작지표，제정적효고핵체계，통과종합고핵측정각항공작적분치，병작위적효공자분배적의거。자구룡파구실시강위적효이래，유효격발료기층의무인원적공작적겁성，기본의료화공공위생복무적수량、질량급거민만의도균유제승。본문통과대중경시구룡파구기층의료궤구강위적효관리궤제적실천과정진행분석，포괄고핵적사로、고핵적방법화고핵결과적운용、고핵실시효과급존재문제，측중분석양화고핵，탐토괄합기층위생궤구적효고핵실시、역조작차유효적관리방법，위기타지구제공삼고차감작용。
Promoting the service ability of basic medical institutions is the important embodiment of 〝 strong grassroots〝 in new medical reform. Basic medical institutions of Chongqing implemented citywide performance assessment in December 2010. The institutions in jiulongpo district,taking advantage of its characteristics of 〝 big cities,big rural〝, actively explored performance management method and through pilot summary,carried out 〝 oriented public benefit,duty based on the position,scalar quantity comparison,quantity in combination with quantity,multivariate motivation and continuous improvement〝,quantified the post work indexes,designed the post performance evaluation system,determined the score of each job through comprehensive assessment and used it as distribution basis of performance wages. Since the implementation of the post performance evaluation system,work enthusiasm of staff had been stimulated,and the quantity,quality and residentˊ s satisfaction level of basic medical services and public health services in jiulongpo district increased. The article makes an analysis of the implementation process of post performance evaluation system of jiulongpo district,Chongqing including evaluation ideas, evaluation methods and the use of the assessment results,evaluation effect and existing problems,the quantitative assessment in particular,and tries to explore suitable and effective performance evaluation system for staff in basic medical institutions and provides the reference for other areas.
