Research On The Optimization Of Performance-based Pay Distribution Of Medical Staff In Hospital S

Since the reform and opening up,the rapid development of China’s economy has significantly improved people’s living standards,with the increase of average life expectancy,the aging of the population has become increasingly serious,and the public’s attention to medical and health care has also been increasing.In order to meet the people’s growing demand for medical and health services,the Chinese government has increased investment in medical and health services,actively promoted the reform of the medical and health system,and introduced various medical policies to meet the needs of the people.Public hospitals are the main body of China’s medical and health services,and are the first choice for Chinese people to see a doctor,and maintaining their public welfare is an important part of medical reform.In recent years,due to the increasing popularity of "market-oriented" medical treatment,it has brought challenges to the public welfare positioning of the medical and health service system.The new medical reform policy clearly requires public hospitals to design scientific and reasonable performance evaluation indicators,take performance evaluation as the foothold,and reasonably allocate medical staff’s performance-based remuneration,which will help promote the correct performance of duties by medical staff,improve service quality,strictly control unreasonable medical expenses,ensure medical safety,and improve the public welfare of public hospitals.This paper adopts the case analysis method,selects S hospital as the case object,and constructs a performance-based pay distribution scheme for medical staff in line with the actual situation of S hospital based on the RBRVS method according to the requirements of the new medical reform for the distribution of performance-based pay in public hospitals.Firstly,by combing the relevant theories and methods of hospital performance-based pay system,the concepts and connotations of salary,performance-based pay,hospital performance-based pay and RBRVS are explained,and the advantages and construction basis of RBRVS assessment method are analyzed.Secondly,according to the overview of Hospital S,the current situation of the distribution of performance-based pay for medical staff in Hospital S is introduced,and then the problems and shortcomings in the existing performance-based pay scheme of Hospital S-income and expenditure balance mode are analyzed through questionnaire survey data and on-site examination.Thirdly,according to the requirements of the new medical reform,the feasibility analysis of the performance-based pay distribution scheme of the RBRVS method was carried out.Finally,a performance-based pay distribution design for medical staff based on the RBRVS method is designed.Based on the implementation of the RBRVS method of performance-based pay distribution plan,it is suggested that the core management of the hospital should attach great importance to the implementation and promotion of the plan,and the establishment of an integrated information platform is the basic condition for the construction of RBRVS performance-based compensation distribution plan,while strengthening the construction of hospital culture and strengthening the communication and feedback of the implementation process of the new program.The scheme also has problems such as promoting the growth of medical expenses,difficulty in performance accounting,heavy emphasis on clinical research leading to great resistance to discipline construction and talent training,affecting hospital team building,and difficulty in cognitive acceptance of medical staff due to different degree of program understanding and acceptance,and the performance-based pay distribution scheme needs to be further optimized.