以标化工作量为基础的绩效考核评价体系对社区卫生综合改革的推动作用.docxVIP

以标化工作量为基础的绩效考核评价体 系对社区卫生综合改革的推动作用 杜晖曹文芳朱红英 张堰镇社区卫生服务中心 摘要： 自1997年起,上海市社区卫生发展已经经历了网络布局、模式转变和运行机制改 革两个阶段，取得了网络布局健全、政府保障公益、全科队伍充实、服务内容综 合、服务模式主动和理念渐入人心的阶段性效果。随着新一轮社区卫生改革的不 断深入，社区卫牛服务体系的更加明确，上海市社区卫牛服务在服务上、管理中所 暴露出阻碍推进发展的一些问题还相当的突出，如:上海社区卫生服务面临深度 老龄化、资源配置相对不足和利用低效并存、缺乏明确标准、管理相对粗放和服 务活力有限等问题，已严重制约了社区卫生服务的发展，而且政府的补偿标准、人 员管理、评价考核与薪酬分配机制尚不健全，符合社区卫生服务规律及家庭医生 制度特点的牛产责任关系尚未建立，社区卫牛服务现代管理制度尚未成熟，这些 都需通过进一步深化改革予以解决。 关键词： 标化工作量;绩效考核评价;社区卫生综合改革; The Promoting Effect of the Performance Assessment System Based on Standardized Workload on the Comprehensive Reform of Community Health DU Hui CAO Wen-fang ZHU Hong-ying Zhangyan town community hea 1th service centers: Abstract： Since 1997, the community health development in Shanghai has experienced network layout, mode transformation and two phases of operation mechanism reform, and has achieved the stage effects of Perfect network layout, the goverrunent guarantee public welfare, general practice team enrichment, service content synthesis, active service model and ideas into the hearts of the people. With the deepening of the new round of community health reform, some problems exposed in the service and management are quite serious of community health service in Shanghai. Such as: the depth of aging， the relative shortage of resources and the use of inefficient coexistence, the lack of clear stanclarcls, relatively extcnsive management, limited service vitality and so on. Which Have seriously restricted the development of community hea1th services. The standard of compensation, personnel management, evaluation and salary distribution mechanism of the goverrunent is not perfect yet, the relationship of production responsibility has not been established according to the law of community health service and the characteristics of family doctor system and the modern management system of community health service is not yet mature. These need to be resolved through further reform. Keyword： Standardized wordload; Performance assessment; Comprehe