公立医院以资源消耗为基础的相对价值比率薪酬制度本土化应用进展

随着公立医院改革不断深入,医院的发展和管理模式受到挑战,建立一套切实可行、合理体现医务人员技术劳务价值而非经济效益的薪酬制度,成为改革成功的关键。基于以资源消耗为基础的相对价值比率(RBRVS)的薪酬制度,在遏制不合理的医疗服务,提高医疗资源的使用效率,激活医生活力等方面具有显著作用。本文对RBRVS的起源与发展、理念与方法、应用现状与面临的困难等方面进行系统阐述,旨在为推动我国公立医院薪酬改革提供参考。

Progress in the localization of relative value scale compensation system based on resource consumption in public hospitals

With the deepening of the reform of public hospitals,the development and management modes of hospitals have been challenged,and the establishment of a feasible and reasonable compensation system that reflects the value of medical personnel's technical labor rather than economic benefits has become the key to the success of the reform.RBRVS-based compensation system plays a significant role in curbing unreasonable medical services,improving the use efficiency of medical resources and activating the vitality of doctors.This paper will systematically explain the origin and development of RBRVS,its concept and method,its application status and the difficulties it faces,etc.,in order to provide a reference for the promotion of China's public hospital salary reform.