摘要
目的:了解乡镇卫生院负责人对机构绩效考核的认知评价情况,为完善和促进绩效考核的开展提供实证依据。方法:采用问卷调查的方法,调查甘肃省卫Ⅺ项目县乡镇卫生院负责人对机构绩效考核的认知评价情况;采用深入访谈的方法访谈部分卫生院负责人,进一步调查绩效考核的开展情况以及对其评价情况。结果:卫生院负责人对机构绩效考核的效果比较认同;对绩效考核指标问题的反馈主要集中在三方面:指标过于繁杂、指标难以测量、考核标准较高;政府投入和人才的不足、科学有效的考核机制和考核方案的缺乏是影响绩效考核实施和效果发挥的主要因素。建议:完善卫生院的补偿机制,加强人才建设;通过绩效考核合理平衡基本医疗和公共卫生服务;探索关键绩效指标;建立基于持续改进的绩效管理模式;优化考核手段;改进激励机制,重视非经济激励。
Objectives： To understand the cognition on institutional performance evaluation by Township Health Centers＇ principals in counties implementing health XI project in Gansu province and to provide the empirical refer- ence for improving the performance evaluation. Methods ： The questionnaire survey on the conditions of cognition was conducted in counties implementing health X[ project in Gansu province and individual depth interviews were used in some of them. Results ： The principals agree with the effect of the performance evaluation. Most respondents felt that the evaluation indicators are too complex, difficult to measure and standard were too high. Mainly due to insufficient governmental financial support and human resources, lack of effective assessment mechanism and plan, the imple- mentation and effects of the performance assessment were impeded. Recommendations ： The compensation mechanism should be perfected and the talent construction be strengthened. Public health and basic medical services should be balanced by the performance evaluation. Key performance indicators should be explored. The performance manage- ment model based on continuous improvement should be established and the assessment plan should be upgraded. The motivational mechanism should be improved and non-economic incentive be attached more importance
出处
《中国卫生政策研究》
2012年第5期46-49,共4页
Chinese Journal of Health Policy
基金
甘肃省卫Ⅺ项目
关键词
乡镇卫生院
绩效考核
认知
评价
Township health centers
Performance evaluation
Cognition
Evaluation
