Evaluation And Improvement Of Large-scale Medical Equipment Performance Management Index System Based On Balanced Scorecard

With the in-depth development of medical reform,reform measures such as medical fee control,medical service price reform,abolition of drug markup,reduction of inspection and testing costs,and DRG collection and payment have been implemented.Looking at the various reform measures,they are all guiding medical institutions to change the current extensive and scale-expanding operation mechanism and shift to pay more attention to connotative development,pay more attention to internal cost control,and pay attention to performance management.In this context,as an important part of public hospitals,large-scale medical equipment has gathered several pairs of contradictions-the contradiction between reducing inspection fees and improving economic efficiency,the contradiction between generating income from outpatient examination and excessive medical curbing,and the contradiction between inpatient examination control and medical quality assurance.Therefore,it is urgent to strengthen the performance management of large medical equipment.The key to judging whether performance management is scientific and reasonable is the indicator system,so it is of great significance to build a scientific and reasonable performance management index system.In this study,taking S Hospital as an example,using the balanced scorecard as the model,the case analysis method and qualitative interview method were used to evaluate the current large-scale medical equipment performance management index system.Using the stratified sampling method,a total of 20 personnel including directors,deputy directors,and ordinary employees of internal medicine,surgery,medical technology,functions,logistics and other departments of S Hospital were selected for interviews.It is found that there are many problems in the current equipment performance management index system,such as imperfect top-level design of performance management,unscientific design of index system,excessive attention to economic benefits,suspected overutilization of excessive medical treatment,resulting in damage to patients’ interests,lagging research and development of equipment management information system,etc.On this basis,combined with the theory of departmental interests and stakeholder theory,the dimension of overutilization was innovatively added on the basis of the traditional balanced scorecard,and a scientific performance management index system was redesigned by using the questionnaire survey method and Delphi method to consult relevant experts for many times.The new index system takes into account economic and social benefits,current and long-term interests,and also balances the interests of all parties involved in equipment,including medical institutions,equipment use departments,medical staff,teaching students and patients.In view of the current problems,this study puts forward relevant countermeasures and suggestions,mainly including:strengthening the top-level design of large-scale medical equipment performance management and clarifying performance goals;Eliminate economic interests as the only guide,and strengthen the supervision and prevention of excessive utilization of large-scale medical equipment;All departments of medical institutions strengthen cooperation,information sharing,improve equipment performance management information system,and ensure the authority and reference value of indicators;Accelerate the construction of a large-scale medical equipment sharing system,ease the pressure of revenue generation,and curb the excessive utilization of equipment.The new performance index system enriches and improves the theoretical system of performance management of large-scale medical equipment,especially the addition of overutilization indicators,fully considers the problem of over-treatment,and fills the blank area of the previous performance index system.In addition,the new index system can help medical institutions to do scientific and effective performance management of large-scale medical equipment,promote the high-quality development of medical institutions,and also provide data support and theoretical basis for the policy formulation of health administrative departments at all levels.