摘要
目的 探讨公立医院年薪制改革中绩效考核工具的适配性问题,提出差异化配置方案以优化薪酬制度效能。方法 通过公式推演与演绎法,系统评估关键绩效指标(KPI)、以资源为基础的相对价值比率(Resource Based Relative Value Scale, RBRVS)和360度考核3种工具在年薪制框架下的适配性及冲突点,并运用比较研究法,基于多维场景提出差异化配置方案。结果 KPI适用于短期效率目标但需防范量化偏差,RBRVS在技术驱动型科室体现技术价值但存在逐利风险,360度考核强化长期发展但执行成本较高。应结合地域经济水平、医院规模及科室职能进行动态调整,并依托信息化技术支持实施。结论 公立医院应根据具体情境差异化选择绩效考核工具,建立动态调整机制,以实现考核工具与年薪制改革的良性互动,推动医院可持续发展与医疗服务价值提升。
Objective To explore the suitability of performance appraisal tools in the annual salary system reform of public hospitals,and to propose a differentiated configuration plan to optimize the effectiveness of the compensation system.Methods Through the formula deduction and deductive method,it systematically assesses the suitability and conflict points of the three tools of KPl,RBRVS and 360-degree appraisal under the framework of the annual salary system,and the comparative research method,and propose a differentiated configuration scheme based on multi-dimensional scenarios.Results KPl is suitable for short-term efficiency goals but needs to prevent quantitative bias,RBRVS embodies technical value in technology-driven departments but there is a risk of profit-seeking,and 360-degree assessment strengthens long-term development but the implementation cost is high.It needs to be dynamically adjusted in combination with the regional economic level,hospital scale and departmental functions,and implemented with the technical support of information technology.Conclusion Public hospitals should differentiate the selection of performance appraisal tools according to the specific context and establish a dynamic adjustment mechanism to realize the benign interaction between the appraisal tools and the annual salary system reform,and to promote the sustainable development of hospitals and the enhancement of the value of medical services.
作者
王瑜婷
周典
杨世努
刘雪珍
赵婉莹
Wang Yuting;Zhou Dian;Yang Shinu(School of Health Management,Anhui Medical University,Hefei,Anhui,230032,China;不详)
出处
《中国医院管理》
北大核心
2025年第6期31-36,共6页
Chinese Hospital Management
基金
安徽省卫生健康科研项目(AHWJ2024Aa10132,AHWJ2023A30040)
安徽省重点研发计划高新领域立项项目(202304a05020071)
安徽省高校科研计划编制(哲学社科)项目(2024AH052615)。
关键词
公立医院
年薪制
绩效考核工具
适配性
public hospitals
annual salary system
performance appraisal tools
adaptability
作者简介
通信作者:周典,E-mail:ahmu_zhoudian@163.com。
