湖南省民营医院绩效管理研究

发布时间：2018-08-28 09:35

【摘要】：医院作为卫生系统最主要的构成部分,一直担负着延续和拯救生命的重要责任。医院的运行效率对人民群众的生活质量、地区人口数量和结构乃至社会经济发展都有着重要影响。我国的医院最初都是由国家出资组建的。近年来,为了提高医疗服务质量、减轻财政压力、满足群众日益多样化的医疗需求,政府逐渐放宽了医疗市场的准入要求。医院所有制也从原来单一的国家所有逐渐转变为国家、集体、个体等多种所有制并存的形式。民营医院经过数十年的发展,如今已成为除公立医院以外最大的医疗服务提供组织。然而,因为历史和现实等诸多因素的影响,民营医院普遍存在着人才流失率高、运营风险高、效率低、财务压力大和社会认可度低等问题。这严重制约了民营医院的发展,也限制了其保障居民生命健康职责的发挥。本文从民营医院与公立医院的绩效差距入手,通过对两类医院绩效数据的对比分析,得出两类医院各自的优劣势以及导致民营医院存在诸多问题的原因。经研究,笔者认为,在当前的政策和社会环境下,改进绩效管理工作是提升民营医院医疗质量与服务的关键。为了了解民营医院绩效管理存在的普遍问题,笔者实地走访了多家医院,综合文献研究结果,总结了不同类型民营医院在绩效管理上的共通问题。随后选取了当前民营医院中数量最多、资本最为集中的综合医院为案例研究对象,通过问卷调查和一对一访谈收集案例医院现有绩效管理工作中存在的具体问题,并分析原因。然后运用标杆法、平衡计分卡和关键绩效指标法等理论,结合国内外医院先进的管理经验,对民营医院的绩效管理工作提出优化建议。包括绩效计划阶段的目标设置与双向沟通,绩效监控内容的丰富,绩效考核体系的重建,绩效结果的反馈与利用等。以期运用实证分析的方法,研究出一套能最大限度发挥绩效管理的作用,切实提高民营医院绩效的方案。
[Abstract]:As the most important component of the health system, hospitals have been shouldering the important responsibility of extending and saving lives. The efficiency of hospital operation has an important influence on the quality of life of the people, the quantity and structure of regional population and even the development of social economy. Hospitals in our country were initially set up with state funds. In recent years, in order to improve the quality of medical service, reduce the financial pressure and meet the increasingly diversified medical needs of the masses, the government has gradually relaxed the access requirements of the medical market. Hospital ownership has gradually changed from single state ownership to state, collective, individual and other forms of ownership. Private hospitals, after decades of development, have become the largest provider of medical services outside public hospitals. However, due to the influence of many factors, such as history and reality, there are many problems in private hospitals, such as high talent turnover rate, high operational risk, low efficiency, high financial pressure and low social acceptance. This seriously restricted the development of private hospitals, but also restricted its responsibility to protect the life and health of residents. This paper starts with the performance gap between private hospitals and public hospitals, through the comparative analysis of the performance data of the two kinds of hospitals, obtains the advantages and disadvantages of the two kinds of hospitals and the reasons leading to many problems in private hospitals. Through research, the author thinks that under the current policy and social environment, improving the performance management is the key to improve the medical quality and service in private hospitals. In order to understand the common problems of performance management in private hospitals, the author visited many hospitals on the spot, summarized the common problems of performance management in different types of private hospitals. Then, the author selects the general hospital which has the largest number and the most concentrated capital as the case study object, collects the concrete problems existing in the existing performance management of the case hospital by questionnaire and one-to-one interview, and analyzes the reasons. Then, by using the benchmarking method, balanced scorecard and key performance index method, combined with the advanced management experience of hospitals at home and abroad, the paper puts forward some suggestions for the optimization of performance management in private hospitals. It includes goal setting and two-way communication in performance planning stage, rich content of performance monitoring, reconstruction of performance appraisal system, feedback and utilization of performance results, etc. In order to use the method of empirical analysis to study a set of programs that can maximize the role of performance management and effectively improve the performance of private hospitals.
【学位授予单位】：中南林业科技大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.322

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