“院办院管”模式下社区健康服务中心绩效分配的SWOT分析——以深圳市龙华区人民医院为例

深圳市是广东省第一个探索建立社区健康服务中心及其运作模式的城市，有别于国内其他基层医疗服务单位的管理体制，深圳市自1996年成立第一家社区健康服务中心以来，一直采用的都是“院办院管”运行体制。绩效分配是保障社区健康服务中心高速运行的改革机制，是提高医务人员工作积极性的重要措施。随着时代的发展，社区健康服务中心数量逐渐增加，其管理体制虽然不断得到优化和完善，但是社区健康服务中心的绩效分配依旧各有利弊，迄今为止没有形成一套指导性强并且高效的绩效分配体系。社区健康服务中心如何解决发展过程中所面临的问题，如何扬长避短地建立一套有效的绩效分配体系，激励工作人员积极为社区居民提供服务以及改善社区健康服务中心的服务质量和水平,显得更加重要。因此，建立一套适用且高效的深圳市社区健康服务中心绩效分配体系迫在眉睫。选取深圳市龙华区人民医院27个社区健康服务中心作为个案，分析社区健康服务中心绩效分配体系中所具有的优势和劣势，思考外部环境中存在的机会和威胁等因素，明确建立和发展绩效分配体系中存在的主要问题，运用SWOT分析方法对此进行详细分析，提出问题和对策，为绩效分配的方法学研究提供参考，促进建立更加公平有效的绩效分配体系。 

SWOT analysis on community health service center with the mode of hospital management-People's Hospital of Longhua in Shenzhen as an example

Shenzhen has been the first city in Guangdong province to explore the mode of hospital-managed community health service, which is different from other grassroots medical service units in China. Since the establishment of the first community health service center in 1996, Shenzhen has always adopted the operation system of " hospital management ". Performance distribution is a reform mechanism to ensure the high speed operation of community health service centers and an important measure to improve the enthusiasm of medical staff. With the development of community health service, the hospital-managed community health service has been optimized and improved, but the performance distribution of community health service center still has disadvantages. It is more important for the community health service center to solve the problems it faces in the process of development to improve the service quality and level of the community health service center. Therefore, it is extremely urgent to establish a suitable and efficient performance distribution system for Shenzhen community health service centers. The author takes 27 community health service centers of Shenzhen Longhua District People's Hospital as an example, analyzes the advantages and disadvantages of the performance distribution system of community health service centers, considers the opportunities and threats in the external environment, and identifies the main problems in the establishment and development of the performance distribution system. SWOT analysis method is used to analyze the problems in detail, and puts forward the problems and countermeasures, which provides reference for the methodological research of performance distribution and promotes the establishment of a more fair and effective performance distribution system.