亚搏

ZHENGFUXINXIGONGKAI

SHIYANSHIWEISHENGJIANKANGWEIYUANHUIXINXIGONGKAI


《国务院办公厅关于加强三级公立医院绩效考核工作的意见》政策解读之二

索引号
解读类型
解读方式
来源
国家卫生健康委员会网站
发文日期
2019年02月22日 11:28:00

  SHISHIGONGLIYIYUANJIXIAOKAOHESHIJIANLIXIANDAIYIYUANGUANLIZHIDUDEYIXIANGZHONGYAONEIRONG,YESHIGONGLIYIYUANWEILAIFAZHANDENEIZAIXUQIU。SUIZHEYIYAOFENKAIZAIQUANGUOFANWEINEIQUANMIANSHISHI,BIAOSHIZHEWOGUODEYIYAOWEISHENGTIZHIGAIGEQUDELEZHONGDAJIEDUANXINGCHENGXIAO。DANRUHEGENGHAODIFAHUIGONGLIYIYUANDEGONGYIXINGZHI,CONGGUIMOKUOZHANGXINGXIANGZHILIANGXIAOYIXINGFAZHAN,BUDUANTIGAOYILIAOZHILIANG?RUHEGENGHAODILVXINGZHENGFUBANYIZHIZE,TONGGUOYOUXIAODE“ZHIHUIBANG”RANGRENMINQUNZHONGDEDAOGENGJIAYOUZHIGAOXIAO、GONGPINGKEJIDEYILIAOWEISHENGYABO?RUHETONGGUOJINGXIHUADEYIYUANNEIBUGUANLISHIXIANYIYUANYUNXINGLIANGHAO,TIXIANDUOLAODUODE、YOUJIYOUCHOUDEXINCHOUFENPEIZHIDU,TIGAOYIWURENYUANDEJIJIXING?ZHEIXIEWENTIDOUSHIYIGAIZHONGYUDAODESHENCENGCIWENTI。ERDUIGONGLIYIYUANSHIXINGJIXIAOKAOHE,JIANGYOUZHUYUPOJIEZHEIXIENANTI,JIANGZHENGFU、YIYUAN、YIWURENYUANDESHIYEGENGHAODI“JUJIAO”GAIGE,ZHENZHENGBAWEIRENMINQUNZHONGTIGONGQUANFANGWEI、QUANSHENGMINGZHOUQIDEYILIAOWEISHENGYABOLUOSHIZAIJUTIDEYILIAOYABOHEGUANLIQUANGUOCHENG。DANSHI,YILIAOJIGOU,TEBIESHIGONGLIYIYUANDEJIXIAOKAOHEBUTONGYUQIYEHEQITAXINGYE,QIFUZAXING、DUOYANGXINGFEICHANGTUCHU。RUHEZHENGQUEBAWOHAO《YIJIAN》NEIRONGQIGUANJIANZAIYUTONGYIJIGERENSHI:

  一、对三级公立医院实施绩效考核恰逢其时

  ZAIWOGUO,SANJIGONGLIYIYUANJISHIYILIAOJISHUDEXIANJINXINGDAIBIAO,YOUSHIYIGAIDEZHULIJUNDUIWU,ZAIFENJIZHENLIAOZHONGYEQIZHEZHIGUANZHONGYAODEZUOYONG。《YIJIAN》ZAIYIGAIJINRUSHENSHUIQUDEDABEIJINGXIACHUTAI,JIUSHIYAORANGSANJIYIYUANZAIGONGLIYIYUANJIXIAOKAOHEDEZHIHUIBANGYINDAOXIAGENGHAODILVXINGGONGYIXINGZHIZE,TONGSHIZAISANJIGONGLIYIYUANLVXIANKAIZHANJIXIAOKAOHEYEJUYOULIANGHAODESHIFANXIAOYING。《YIJIAN》ZHONGZHICHU,JIAQIANGHEWANSHANGONGLIYIYUANGUANLI,LUOSHIGONGYIXING,DIAODONGJIJIXING,YINDAOSANJIGONGLIYIYUANJINYIBULUOSHIGONGNENGDINGWEI,TIGAOYILIAOYABOZHILIANGHEXIAOLV,TUIJINFENJIZHENLIAOZHIDUYABO,WEIRENMINQUNZHONGTIGONGGAOZHILIANGDEYILIAOYABO。ZHEIYIZHIDAOYUANZEDUIJIXIAOKAOHEDEMUDEYIYIZUOLEHENHAODECHANSHU,HUAJIANGZHEYUZHANGDUOZHEMUBIAOFANGXIANGYAOGAODUYIZHI。

  二、读懂《意见》,要解决心中的三个“为什么”

  YISHIWEISHENMECONGGUOJIACENGCICHUTAITONGYIDESANJIYIYUANJIXIAOKAOHEZHIBIAOTIXI。《YIJIAN》ZHONGJIANG“YILIAOZHILIANG”、“YUNXINGXIAOLV”、“CHIXUFAZHAN”HE“MANYIDUPINGJIA”DENG4GEFANGMIANZUOWEIJIXIAOKAOHEZHIBIAOTIXIDEGOUCHENG,KEYISHUOSHIZHUAZHULEGONGLIYIYUANFAZHAN、YUNXING、GUANLIHEYABODE“MINGMEN”。JINGUANQUANGUOSANJIYIYUANZHONGDUO(2017NIANDIYIDA2112SUO)、SUOCHUDEDIQUJINGJIFAZHANSHUIPINGBUTONG、YILIAOYABONENGLIBUTONG,DANZUOWEIZHENGFUJUBANDESANJIGONGLIYIYUAN,QICHENGDANDESHEHUIGONGGONGZHIZEXIANGTONG,GUANGDAHUANZHEDUIQISUOTIGONGDEYILIAOYABOXUQIUXIANGTONG,YINCI,JIUYAOQIUSANJIYIYUANYINGDANGXIANGZHETONGZHIHUAFAZHANFANGXIANGNULI。BIRU,《YIJIAN》ZHONGDUI“YUNXINGXIAOLV”DEKAOHEMINGQUEZHICHULEYAO“TONGGUOKAOHEMENZHENHEZHUYUANHUANZHECI(LI)JUNFEIYONGBIANHUA,HENGLIANGYIYUANZHUDONGKONGZHIFEIYONGBUHELIZENGZHANGQINGKUANG”;ZAI“MANYIDUPINGJIA”ZHONGZHICHUDE“YIWURENYUANMANYIDUSHIYIYUANTIGONGGAOZHILIANGYILIAOYABODEZHONGYAOBAOZHANG。TONGGUOPINGJIAMENZHENHUANZHE、ZHUYUANHUANZHEHEYIWURENYUANMANYIDUQINGKUANG,HENGLIANGHUANZHEJIYIWURENYUANHUODEGAN”。ZHEIXIEDOUSHIYINDAOGONGLIYIYUANGONGYIXINGDAOXIANGYINGGAIZUNXUNDEGUANJIANZHIBIAO。

亚搏  ERSHIWEISHENMEYAOQIANGDIAOSHUDIHUAKAOHE。SANJIGONGLIYIYUANSHIQUYUYILIAOWEISHENGFAZHANDEZHONGYAOTIGONGZHE,GENGCHENGDANZHESHUDIHUATUIDONGFENJIZHENLIAODELONGTOUZUOYONG。FENJIZHENLIAODEHEXINJIUSHIGEJIYILIAOJIGOUKEXUEDEGONGNENGDINGWEISHIFOUNENGGOUYOUXIAOFAHUIZUOYONG,ERSANJIYIYUANRUGUOANZHAOZIJIDEYIYUANZIYOUSHIFAZHAN,SHENZHI“QIANGZHAN”XIAJIYILIAOJIGOUYILIAOZIYUAN,JIUWUFASHIXIANGEDIQUYILIAOZIYUANDEGONGNENGBUJU,WUFASHIYILIAOWEISHENGYABOGENGHAO、GENGGONGPINGDIXIANGQUYUNEIJUMINJUNHENGTIGONG。《YIJIAN》ZHONGZHICHU,GESHENGJIZHENGFUJIEHEJINGJISHEHUIFAZHANSHUIPING,DUIBUTONGJIBIELEIBIEYILIAOJIGOUSHEZHIBUTONGZHIBIAOQUANZHONG,TISHENGKAOHEDEZHENDUIXINGHEJINGZHUNDU。ZHEIYIYAOQIUBUJINYOULIYUJIXIAOKAOHEDELUODISHISHI,YENENGGOUTUCHUGEDIFANGDESHIJIQINGKUANG,TUCHUYILIAOWEISHENGGUIHUATUIDONGDEZHENGTIXING,TUCHUYIWENTIWEIDAOXIANGJIEJUEDANGDIYILIAOYABOHEYIYUANGUANLIZHONGDEPINGJINGWENTI,TUIDONGGEJIYILIAOJIGOUZAISHEDINGDEGONGNENGDINGWEIZHONGFAHUIZUOYONG。

  SANSHIWEISHENMEYAOQIANGDIAOBUMENLIANDONG。《YIJIAN》ZHONGZHICHU,YAOQIESHIJIAQIANGZUZHILINGDAO,CAIZHENG、FAZHANGAIGE、JIAOYU、RENLIZIYUANSHEHUIBAOZHANG、WEISHENGJIANKANG、YIBAO、ZHONGYIYAODENGBUMENJIANLIXIEDIAOTUIJINJIZHI,JISHICHUTAIZHENGCECUOSHI,QUEBAOJIXIAOKAOHEGONGZUOLUODAOSHICHU。ZHEIJISHIDUIZUOHAOJIXIAOKAOHEDEGONGZUOYAOQIU,YESHUOMINGLEJIXIAOKAOHEGONGZUODEFUZAXING、XITONGXING。JIXIAOKAOHESHIFOUNENGGOUCENGCENGLUOSHI,GUANJIANZAIYUBUMENZHIJIANDEZHENGCEXIANJIE。KAOHEJIEGUOYUYIYUANCAIZHENGBUZHU、YIBAOZHIFU、GONGZIZONGEYIJIYUANZHANGXINCHOU、RENMIAN、JIANGCHENGDENGZHENGCEGUAGOU,CAINENGZHENZHENGDUIGONGLIYIYUANQIDAOZHIYINFAZHANFANGXIANGDE“ZHIHUIBANG”ZUOYONG,CAINENGZHENZHENGZAIYIYUANNEIBUJIANLIQIJILIYUESHUJIZHI,ZUIZHONGRANGBAIXINGHEYIWURENYUANSHOUYI。DANGDESHIJIUDATICHULE“JIANLIQUANMIANGUIFANTOUMING、BIAOZHUNKEXUE、YUESHUYOULIDEYUSUANGUANLIZHIDU,QUANMIANSHISHIJIXIAOGUANLI”DEGONGZUOYAOQIU,2018NIAN11YUEXIAFALE《ZHONGGONGZHONGYANG GUOWUYUANGUANYUQUANMIANSHISHIYUSUANJIXIAOGUANLIDEYIJIAN》TICHUDE“CONGYUNXINGCHENGBEN、GUANLIXIAOLV、LVZHIXIAONENG、SHEHUIXIAOYING、KECHIXUFAZHANNENGLIHEYABODUIXIANGMANYIDUDENGFANGMIAN,HENGLIANGBUMENHEDANWEIZHENGTIJIHEXINYEWUSHISHIXIAOGUO,TUIDONGTIGAOBUMENHEDANWEIZHENGTIJIXIAOSHUIPING”DENGJINGSHENYUBENWENJIANYOUZHEJINGZHUNDEXIANJIEHEHUDONG,YOULIYUYUSUANJIXIAOGUANLIHEYEWUJIXIAOGUANLIDEYOUXIAORONGHELIANDONG。

  三、绩效考核要把握好三个难点

  NANDIANYI,RUHEGOUJIANJIXIAOKAOHESHUJUDE“JINBIAOZHUN”。《YIJIAN》JIANG“TIGAOBINGANSHOUYEZHILIANG”、“TONGYIBIANMAHESHUYUJI”、“WANSHANMANYIDUDIAOCHAPINGTAI”HE“JIANLIKAOHEXINXIXITONG”ZUOWEISHISHIJIXIAOKAOHEDEZHICHENGTIXI,JIUSHIYAOGOUJIANQUANGUOZHENGQIHUAYIDEJIXIAOKAOHEXIANGGUANSHUJUDE“JINBIAOZHUN”。ZHEISHIJIXIAOKAOHEDEJICHUXINGGONGZUO,YESHIPINGJIAJIXIAOKAOHEKEXUEXING、KEGUANXINGDEZHONGYAOTIXIAN。YOUYUJIWANGGEDIQUZAISHANGSHUGEFANGMIANDECHAYIXINGHAIBIJIAODA,XINXIHUAFAZHANSHUIPINGJIKEHUOQUYILIAOYABOXINXIDENENGLICANCHABUQI,YINCI,ZHEIYESHIJIXIAOKAOHEGONGZUODENANDIANSUOZAI,XUYAOZAIGUOJIAWEISHENGJIANKANGWEIDETONGYIBUSHUXIAFENBUZHOU、ZHENGTIHUATUIJIN。

  NANDIANER,RUHEXINGCHENGZISHANGERXIADEGONGLIYIYUANJIXIAOKAOHEZHIDUHEZEREN。JIXIAOKAOHEBUJINZAIYUDAJIAYONGYITAOZHIBIAOTIXIQUKAOHE,GENGZHONGYAODESHICONGZHENGFUGEBUMENDAOYILIAOJIGOUDOUXINGCHENGYIJIXIAOWEIDAOXIANGDEGUANLIHEFAZHANLINIAN,XINGCHENGYIZHENGTAOJIXIAOGUANLIZHIDU,YABOGAIGEDAJU,TONGGUOJIXIAOKAOHECHONGFENDIAODONGYIWURENYUANZHUDONGCANYUGAIGE、GENGHAOYABOHUANZHEDEJIJIXING,GENGHAODIBAGONGYIXINGBANYUANFANGXIANGTINGZAIQIANMIAN,GENGHAODILUOSHIYIRENMINWEIZHONGXINDEYILIAOYABOLINIAN。《YIJIAN》ZHONGZHICHU,YAOTONGGUOSHENHUAYIGAI,POJIEJIXIAOKAOHEZHIBIAOSHEJIDETIZHIJIZHIWENTI,ANGUIDINGLUOSHIZHENGFUDUIFUHEQUYUWEISHENGGUIHUADEGONGLIYIYUANTOURUZHENGCE,ZHIDAODIFANGZAIQINGLIZHENBIEDEJICHUSHANGWENTUOHUAJIEFUHETIAOJIANDEGONGLIYIYUANZHANGQIZHAIWU。LUOSHIGONGLIYIYUANXINCHOUZHIDUGAIGEZHENGCE。ZHEIJIUSHIYAOTONGGUOJIANLIJIXIAOKAOHEZHIDUZUOWEITUIDONGSHENHUAYIGAIZHENGCELUODI,LUOSHIZHENGFUBANYIZHIZE,TEBIESHIZAIJIXIAOKAOHEJICHUSHANGLVXINGHAOGUOJIAGUIDINGDEZHENGFUDUIGONGLIYIYUANLIULEITOURUBAOZHANGZHENGCE,BINGJIANGGAIGEZHENGCEHEJIXIAOKAOHEZERENCENGCENGCHUANDAOZHIYIYUANHEYIWURENYUAN,QIAODONGGAIGESHENSHUIQUYUDAODEGENGJIAJISHOUDETIZHIJIZHINANTI,TEBIESHITONGGUOJIXIAOKAOHETUIJINGONGLIYIYUANXINCHOUZHIDUGAIGE。ZAIZHEIFANGMIANHENDUODIFANGDOUJINXINGLEHENHAODETANSUO,JILEILEBUSHAOJINGYAN。BIRU,BEIJINGSHIYIYUANGUANLIJUZI2012NIANQIKAISHIDUI22JIASHISHUSANJIYIYUANJINXINGJIXIAOKAOHE,GESHISHUYIYUANYEDOUCHENGLILEJIXIAOBANGONGSHI。JINGGUOLIUNIANDENULI,BUJINSHISHUYIYUANGEXIANGGAIGECUOSHIDEDAOHENHAOLUOSHI,YIYUANJINGXIHUAGUANLIDEDAOMINGXIANQIANGHUA,YILIAOYABOZHILIANGHEXIAOLVDEDAODAFUDUTIGAO,ERQIEGEYIYUANDOUJIANLILEJIXIAOKAOHEYUFENPEIZHIDU,TONGGUOYUEDU、JIDU、NIANDUDEJIXIAOKAOHEYUBEIJINGSHIYIGUANJUDEJIXIAOKAOHEXINGCHENGLIANGHAODEHUDONGHEXIANJIE。

  NANDIANSAN,JIXIAOKAOHEJIEGUORUHEYINGYONG。YIGEHAODEJIXIAOKAOHERUGUOMEIYOUKAOHEJIEGUODEQUANFANGWEIYINGYONGJIUBUNENGXINGCHENGBIHUANSHIGUANLIHECHIXUXINGGAIJIN。KAOHEJIEGUODEYINGYONGZUIZHONGYAODESHIYUXIANGGUANZHENGCEZHIJIANDEYOUXIAOXIANJIE。《YIJIAN》ZHONGZHICHU,GEDIYAOJIANLIJIXIAOKAOHEXINXIHEJIEGUODEBUMENGONGXIANGJIZHI,XINGCHENGBUMENGONGZUOHELI,QIANGHUAJIXIAOKAOHEJIEGUOYINGYONG,JIANGJIXIAOKAOHEJIEGUOZUOWEIGONGLIYIYUANFAZHANGUIHUA、ZHONGDAXIANGMULIXIANG、CAIZHENGTOURU、JINGFEIHEBO、JIXIAOGONGZIZONGLIANGHEDING、YIBAOZHENGCEDIAOZHENGDEZHONGYAOYIJU,TONGSHIYUYIYUANPINGSHENPINGJIA、GUOJIAYIXUEZHONGXINHEQUYUYILIAOZHONGXINYABOYIJIGEXIANGPINGYOUPINGXIANGONGZUOJINMIJIEHE。JIXIAOKAOHEJIEGUOZUOWEIXUANBARENYONGGONGLIYIYUANDANGZUZHISHUJI、YUANZHANGHELINGDAOBANZICHENGYUANDEZHONGYAOCANKAO。LUOSHIZHEIXIEZHENGCEJINKAOWEISHENGJIANKANGXINGZHENGBUMENSHIBUGOUDE,BIXUYUXIANGGUANBUMENXINGCHENGHELI。BIRUBEIJINGZAISHISHUYIYUANJIXIAOKAOHEJIEGUOYINGYONGZHONGJIUBIJIAOFENGFUDIYUXIANGGUANZHENGCEMIQIEJIEHE。YISHIYUDANGZHENGYIBASHOURENZHIJIEHE,YIYUANDEKAOHECHENGJILIANXULIANGNIANPAIZAIDISIDENGJIDANGZHENGYIBASHOUYUYIMIANZHI;ERSHIYUCAIZHENGBOKUANXIANGJIEHE。SHICAIZHENGJUDIAOZHENGZHICHUJIEGOUHEZHICHUFANGSHI,GAIBIANJIWANGANRENTOUBOFUDEFANGSHI,NACHU10YIYUANYONGYUJIXIAOKAOHE,BEIJINGSHIYIGUANJUANZHAOKAOHEJIEGUODUIXIANGEYIYUANJIXIAOKAOHEJIANGLIJINGFEI,GENGJIATUCHULEZHENGFUCAIZHENGJINGFEIDESHIYONGXIAONENG;SANSHIYUYIYUANJINGYINGZHUANGKUANGHEGONGZIZONGEXIANGJIEHE。MEINIANDUISHISHUYIYUANJINXINGJINGYINGFENGXIANFENXI,DUIYUJINGYINGZHUANGKUANGBUJIA、CHENGBENKONGZHIBUHAODEYIYUANXIANZHIJIXIAOJIANGLIZIJINDEFAFANG,BINGSUOJIANCINIANDEGONGZIZONGEZENGZHANGFUDU;SISHIJIANGZHENGFUZHILINGXINGRENWUYUJIXIAOKAOHEXIANGJIEHE,QUEBAOLESHIWEISHIZHENGFUGEXIANGGAIGEHEZHONGDIANGONGZUOSHUNLITUIJIN。ZHEIXIEZONGHEXINGCUOSHIYUJIXIAOKAOHEXIANGHUZHICHENG,DUIYIYUANGUANLIYUFAZHANQIDAOLELIANGHAODECUJINZUOYONG。

亚搏  ZONGZHI,JIXIAOKAOHESHIYIXIANGFUZADEXITONGGONGCHENG,XUYAOGEJIZHENGFUGAODUZHONGSHI,GEBUMENLIANDONG,CHONGFENDIAODONGYILIAOJIGOUZHUDONGCANYUDEJIJIXINGCAINENGGOUSHI《YIJIAN》ZHAZHASHISHILUODISHISHI。

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