9龙江省三级公立医院绩效考核体系研究

（公共管理硕士）黑龙江省三级公立医院绩效考核体系研究STUDYONPERFORMANCEAPPRAISALSYSTEMOFTERTIARYPUBLICHOSPITALSINHEILONGJIANGPROVINCE徐伟2009年9月国内图书分类号：F406.15学校代码：10213国际图书分类号：658密级：公开公共管理硕士学位论文黑龙江省三级公立医院绩效考核体系研究硕士研究生：徐伟导师：丁云龙教授申请学位：公共管理硕士学科、专业：公共管理所在单位：哈尔滨医科大学附属第四医院答辩日期：2009年9月授予学位单位：哈尔滨工业大学ClassifiedIndex:F406.15U.D.C:658ADissertationfortheDegreeofMPASTUDYONPERFORMANCEAPPRAISALSYSTEMOFTERTIARYPUBLICHOSPITALSINHEILONGJIANGPROVINCECandidate:XuWeiSupervisor:Prof.DingYunlongAcademicDegreeAppliedfor:MasterofPublicAdministrationSpecialty:PublicManagementAffiliation：TheFourthClinicalCollegeofHarbinMedicalUniversityDateofDefense:September,2009Degree-Offering-Institution:HarbinInstituteofTechnology哈尔滨工业大学公共管理硕士学位论文摘要近二十年来，黑龙江省的医疗行业发生了显著的变化，大量民营医院迅速崛起，中外合资合作医院开始建立，黑龙江省公立医院，尤其是三级公立医院的发展面临着前所未有的挑战。由于长期受计划经济体制的影响，加之医疗服务的特殊性，黑龙江省三级公立医院在绩效管理方面的改革显得非常落后。《中共中央国务院关于深化医药卫生体制改革的意见》的颁布，要求公立医院要改革人事制度，完善分配激励机制，推行聘用制度和岗位管理制度，严格工资总额管理，实行以服务质量及岗位工作量为主的综合绩效考核和岗位绩效工资制度，有效调动医务人员的积极性。面对经济效益和社会效益的双重压力，顺应新医改形势，黑龙江省三级公立医院必须建立一套适合自身的绩效考核策略。作为知识密集型组织，医院的生存与发展有赖于医务人员的工作与努力。人力资源是首要的资源，争夺人才就是争夺发展、争夺未来、争夺空间，而绩效考核是人力资源管理昀重要的组成部分。因此，研究当前黑龙江省三极公立医院的绩效考核具有积极的现实意义。本文结合黑龙江省三级公立医院实际，以战略为导向，通过中外绩效考核制度的比较分析，在借鉴绩效管理和人力激励理论的基础上，设计了一套针对黑龙江省三级公立医院的绩效考核方案。本文的着眼点不在于理论创新，而是着力于医院绩效考核的实际应用，消化吸收国内外理论昀新成果，对完善黑龙江省医院绩效考核体系，提高医院绩效水平具有一定的现实和指导意义。关键词：三级公立医院；绩效考核；指标体系-I-哈尔滨工业大学公共管理硕士学位论文AbstractForthepasttwentyyears,Heilongjiang'smedicalindustryhashadtheremarkablechanges：themassiveprivatelyoperatedhospitalsriserapidly,andthenumerousChinese-foreignjointventurecooperationhospitalshasbeenestablishedunceasingly,thustheHeilongjiangpublichospitals,especiallythetertiarypublichospitals’developmentisfacingtheunprecedentedshock.Asaresultoftheplannedeconomysystem,aswellasthemedicalservice'sparticularity,theHeilongjiangtertiarypublichospitalsappearverybackwardforalongtimeinthereformofachievablemanagements.Thestatecouncilopiniononthesystemofmedicineandhealthclaimsthatthepublichospitalsshouldreformthepersonnelregulations,perfectthedistributionandinspirationsystems,carryouttheemploymentandpositionalmanagementsystems,strictlycontrolthesalarysumandimplementthesystemofcomprehensiveandpositionalachievementthatismainlyduetotheservicequalityandthepositionquantity.Facingthedualpressurebetweentheeconomicandsocialefficiencies,andtoadaptingtothesituationofthenewmedicalreform,theHeilongjiangtertiarypublichospitalsmustestablishasetofcountmeasurestofititsownperformanceappraisal.Astheknowledgeintensiveorganization,thehospital’ssurvivalanddevelopmentdependonmedicalpersonnel'sworkanddiligence.Thehumanresourcesarethemostimportantones,sothecompetitionforthetalentedpersonisthecompetitionforthedevelopment,futureandspace.Becausetheperformanceappraisalisthethemostimportantpartofthehumanresourcemanagements,thecurrentresearchonHeilongjiangtertiarypublichospitals’performanceappraisalhasthepositivepracticalsignificance.ThisarticledesignsasetofprogramsintheviewoftheHeilongjiangtertiarypublichospitals’performanceappraisal,linkingwiththerealityofHeilongjiangtertiarypublichospitals,andtakingtheroadmapsastheguidance,aswellasthroughthecomparativeanalysisoftheChinese-foreignachievementsystems.Theobjectiveofthisarticledoesnotlieinthetheoreticalapproach,butliesinthepracticalapplicationofthehospitalperformanceappraisal.AndalsothedigestionandabsorptionofthedomesticandforeignlatestachievementshavebothrealisticandpracticalsignificanceinperfectingthehospitalsinHeilongjiangperformance-II-哈尔滨工业大学公共管理硕士学位论文appraisalsystems,andimprovingthelevelsofthehospitalachievements.Keywords:tertiarypublichospitals,performanceappraisal,indexsystem-III-哈尔滨工业大学公共管理硕士学位论文目录摘要.........................................................................................................................IAbstract...................................................................................................................II第1章绪论...........................................................................................................11.1问题的提出和研究意义...............................................................................11.1.1问题的提出............................................................................................11.1.2研究意义...............................................................................................31.2国内外研究现状...........................................................................................41.2.1国内研究综述........................................................................................41.2.2国外研究综述........................................................................................61.3相关研究评价...............................................................................................91.4研究的内容和结构.....................................................................................101.5研究的思路、方法和范围..........................................................................11第2章黑龙江省三级公立医院绩效考核现状、存在问题与成因分析...........152.1我国医院绩效考核制度.............................................................................152.1.1我国医院绩效考核制度的历史沿革............