序位进退法在医院绩效考核中的应用探讨

在医院绩效考核中,由于各科室在工作对象、工作内容和经济运行等方面差异显著,使得很多考核指标在不同科室之间缺乏可比性,这已成为各医院长期以来难以有效解决的突出问题,也在一定程度上影响着绩效分配的公平性。作者从成本收益评价的困境入手,提出序位进退法的基本概念,并全面阐述了采用序位进退法进行绩效考核的实施步骤及操作要点,指出序位进退法具有纵横结合弱化科间差异、对照科学避免导向偏移、等级区分突显激励作用、末端调整体现奖优惩劣4个方面的特点;同时从推动医院去利益化进程、实现医院绩效分配公平、强化医院绩效管理导向3个方面,探讨了该方法在医院绩效考核体系中的应用价值,为构建更加科学、公平的绩效考核体系提供新的方法和思路。

Application research on the sequence advance and retreat method in hospital performance appraisal system

In hospital performance evaluation,significant differences in the work objects,work content and economic operation of various departments result in the lack of indicators comparability between different departments.This has become a prominent problem that hospitals have been unable to effectively solve for a long time,and has also affected the fairness of performance distribution to a certain extent.Starting from the dilemma of cost-benefit evaluation,the authors put forward the basic concepts of the sequence advance and retreat method,and comprehensively elaborated the implementation steps and operating points of the performance assessment using the sequence advance and retreat method.It is pointed out that the sequence advance and retreat method has four characteristics:weakening the differences between departments by vertical and horizontal combination,avoiding the deviation of guidance by scientific comparison,highlighting the incentive effect by grade differentiation,and reflecting the advantages and disadvantages by end adjustment.The value of this method in the hospital performance appraisal system is discussed from three aspects:promoting the de-profitization process of hospitals,achieving fair distribution of hospital performance,and strengthening the guidance of hospital performance management.Based on such studies,this article provides new methods and ideas for building a more scientific and fair performance evaluation system.