摘要
RBRVS和DIP都是绩效考核与费用控制的有效工具,有着各自的优势和不足,将两者结合运用于三级公立医院绩效管理,具有一定的现实意义。为此,提出三级公立医院绩效管理改进策略:绩效考核分配的导向应立足长远,病种费用控制应力求精准,强化对业务科室的绩效辅导,确保RBRVS和DIP绩效管理的顺利实施。
Both RBRVS and DIP are effective tools for performance appraisal and cost control,with their own strengths and weaknesses.It is of some practical significance to combine them in the performance management of tertiary public hospitals.We proposed that performance appraisal allocation should be oriented towards the long term,cost control of disease types should be precise,and performance coaching for operational departments should be strengthened to ensure the smooth implementation of RBRVS and DIP performance management.
作者
龙岳华
徐甜甜
李姗姗
欧阳明
LONG Yuehua;XU Tiantian;LI Shanshan;OUYANG Ming(Guangzhou First People's Hospital,Guangzhou Guangdong 510180,China)
基金
广州市卫生健康重大项目“广州市十年医改效果评估研究”(2020A031004)
广东省卫生经济学会2021年科研项目面上课题“新医改背景下公立医院内部控制研究”(2021-WJMZ-32)
广东省卫生经济学会2022年科研项目专项课题“价值医疗下公立医院专门运营管理部门建设的实践研究”(2022-WJZX-05)。
