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通过建立医生绩效考评模型,构建激励、公平且又能体现医院技术服务价值理念的绩效分配机制。以RBRVS资源相对价值为基础,通过比较医疗服务中投入的各类资源要素、成本的高低来计算每次服务的相对值,结合服务量和服务费用总预算,计算出每项诊疗服务项目的医生绩效奖金。RBRVS绩效考评的实施,使医疗资源利用率得到有效提高,鼓励和引导临床开展新技术新项目,促使收入结构的进一步优化,降低医疗运行成本,提高科室的能力建设。在医生绩效分配中实现精细化管理,能为公立医院建立新型的薪酬激励机制提供一定的参考。
Through the establishment of a doctor performance appraisal model, we construct a performance allocation mechanism that encourages, equitably and can reflect the value concept of hospital technical services. Based on the relative value of RBRVS resources, the relative value of each service is calculated by comparing the various resource elements and costs invested in medical services, and the doctor of each medical service item is calculated according to the total amount of service and service costs performance bonus. The implementation of RBRVS performance appraisal has effectively improved the utilization rate of medical resources, encouraged and guided the clinical development of new technologies and new projects, further optimized the income structure, reduced the operating costs of medical services and improved the capacity building of departments. To achieve meticulous management in the performance appraisal of doctors can provide certain reference for establishing a new salary incentive mechanism in public hospitals.