北京市社区卫生服务机构实施绩效工资的现状调查.docVIP

北京市社区卫生服务机构实施绩效工资的现状调查 　　[摘要] 目的 对北京市16个区县的社区卫生服务中心采取抽样调查的方式，分析绩效工资制度的实施现状，为基层卫生机构绩效工资制度的实行提供相关政策建议。 方法 通过问卷调查的方式，对抽样机构的绩效工资实施现状及不同岗位人员态度进行调查。 结果 被调查的人员对目前现状满意度较高，不满意的人员仅占11.1%，绩效工资制度在考核内容、结果和反馈等方面均有成效，但仍有36.4%的人员的对目前工资情况不满意。 结论 应建立绩效工资内外部公平性与反馈机制，对绩效工资体系实施动态管理。 　　[关键词] 社区卫生服务机构；绩效工资；现状 　　[中图分类号] R197[文献标识码] A[文章编号] 1673-7210（2014）06（a）-0124-05 　　 　　Survey the current situation of performance-related pay in Beijing community health service institutions 　　ZHANG Fuhua ZHAO Liying ZHOU Yuqiong JIANG Yan CHENG Wei▲ 　　School of Management, Beijing University of Chinese Medicine, Beijing 100029, China 　　[Abstract] Objective To analyze the implementation effect of performance-related pay system by taking a sampling survey to community health service institutions from 16 districts and counties in Beijing, in order to provide relevant policy recommendations for the system of grass-roots health institutions. Methods Through the way of questionnaires, the institutions sampled, including the implementation status of performance-related pay and attitude of employees of different positions were surveyed. Results Higher satisfaction were surveyed on the current, only 11.1% of the staffs were not satisfied. Pay for performance appraisal system in the content, results and feedback were effective. But there were still 36.4% of the staffs were not satisfied with the current wages. Conclusion Establish internal and external fairness of performance-related pay and feedback mechanisms, manage performance-related pay system dynamically. 　　[Key words] Community health service institutions; Performance-related pay; Current situation 　　2009年4月中共中央国务院《关于深化医药卫生体制改革的意见》（中发[2009]6号）提出：“社区卫生服务中心（站）要加强和完善内部管理，建立以服务质量为核心、以岗位责任与绩效为基础的考核和激励制度，形成保障公平效率的长效机制”[1]。2010年7月北京市委常委会通过了《关于公共卫生与基层医疗卫生事业单位实施绩效工资的意见》（以下简称“《意见》”）规定，基层医疗卫生事业单位内部绩效工资分配，应向承担公共卫生服务和临床一线工作的岗位倾斜。实施绩效工资的主要目的在于调动职工的积极性，起到多劳多得、优绩优酬的激励作用，同时能够促使社区卫生服务机构落实其基本医疗和公共卫生服务功能，改善和提高居民健康水平，维护健康公平性[2-3]。调动医务人员积极性是推进基层医改的前提，也是保障社区卫生服务机构稳