| In China’s medical and health system,public hospitals have always been in a dominant position,which is closely related to the public life.In recent years,doctor-patient relationship,excessive medical treatment and medical staff treatment are hot issues in society.This is caused by the mismatch between the people’s growing demand for medical services and the supply of medical and health services.In addition,the reform of the market economic system has raised the cost of medical services and brought huge challenges to the operation and management of public hospitals.The new medical reform requires the abolition of drug addition and the abolition of the model of "supporting doctors with medicine",which fully reflects the mission of restoring the public welfare of public hospitals and the value of medical workers’ services.For public hospitals,how to construct a performance appraisal system that can not only meet the requirements of national policy reform,but also meet the requirements of hospital development;How to reflect the public welfare of the hospital,improve the initiative and enthusiasm of medical staff,and at the same time improve the economic and social benefits of public hospitals is an urgent problem for hospital managers.Based on the summary and review of the research results of other scholars,this paper uses the case study method and comparative analysis method based on the relevant theories of performance management,takes H hospital as the research object,introduces the general situation of H hospital and the process of the new medical reform,and describes the performance appraisal situation and existing problems of H hospital before the new medical reform.Secondly,it outlines the construction of the performance appraisal system combining RBRVS and KPI,analyzes the implementation effect of the system from three dimensions of public welfare,efficiency and fairness,and discusses the problems and causes in the design and implementation process.Finally,according to the successful experience of H hospital,the enlightenment is drawn and the conclusions of this paper are summarized..In this paper,the following conclusions are drawn: first,the construction of the performance appraisal system should be guided by the development strategy of public hospitals,and at the same time work with the hospital’s work system,personnel system,training system and cultural guidance,etc.,in order to truly improve the work efficiency and effect of the hospital staff;Second,it is necessary to adhere to the principle of efficiency while giving priority to equity in performance appraisal.Only in this way can we conform to the national policy reform and satisfy the development of public hospitals.Only in this way can we reflect the public welfare of public hospitals and improve the working enthusiasm of medical staff,thus forming a virtuous circle.Third,the performance reform of public hospitals cannot be separated from a sound two-way communication mechanism.It is necessary to establish a two-way communication mechanism throughout the hospital,which can effectively change employees’ awareness,promote the progress of performance reform and promote the better development of public hospitals.Fourth,the nature of performance management is the process of public hospital fine management,fine management can not be achieved overnight,so public hospitals need in developing continuously improve performance management idea,evaluation methods and examination system,continuous improvement and improve medical service quality,and improve patient satisfaction,promote the sustainable development of public hospitals.H hospital building RBRVS and KPI performance appraisal system is a set of scientific performance appraisal system,both the return to the public hospital public welfare attribute,and improve the whole staff’s work enthusiasm,at the same time cost from the source control,promoting the hospital the elaborating management,make the aim of the new health reform,the hospital’s own development strategy and employee personal value science,promote the sustainable development of H hospital.The successful experience of this case can be used as a reference for similar hospitals to cope with the dilemma of the current development of public hospitals. |
