Exploration of performance appraisal reform oriented by clinical ability and cost control

Lengchen Hou, Jiafang Yang, Ji Zhang, Qi Wang, Danfeng Wu, Longjun Hu
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Abstract

Based on the requirement of the ongoing healthcare reform on the performance appraisal for public hospitals, Shanghai Tenth People′s Hospital explored the performance appraisal system oriented by clinical ability and cost control from the perspective of medical administration and finance. Performance appraisal programs were made from five aspects: clinical development ability, key efficacy indicators, clinical path, disease-entity structure, cost control, aiming to highlight the functional positioning of tertiary hospitals, change doctors′ behaviors of diagnosis and treatment, lead clinical improvement and maintain healthy economy development. Key words: Hospitals, public; Clinical ability; Cost control; Performance appraisal
以临床能力和成本控制为导向的绩效考核改革探索
根据当前医改对公立医院绩效考核的要求,上海市第十人民医院从医疗管理和财务角度,探索了以临床能力和成本控制为导向的绩效考核体系。从临床开发能力、关键疗效指标、临床路径、疾病实体结构、成本控制五个方面制定绩效考核方案,旨在突出三级医院的功能定位,改变医生的诊疗行为,引领临床改进,保持经济健康发展。关键词:医院,公共;临床能力;成本控制;绩效考核
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