【摘要】 目的 分析当前公立医院绩效管理体系中存在的问题，探索以公益性以及高质量发展为导向的优化路径。方法 基于文献研究与政策分析，聚焦公立医院内部绩效管理体系现状，从绩效考核目标、指标、方法、流程、结果应用5个维度剖析问题，并提出系统性优化策略。结果 当前公立医院绩效管理体系存在目标偏移、指标设置不合理、方法滞后、流程僵化、结果应用单一等问题。结论 公立医院需以公益性以及高质量发展“双轮驱动”，通过重构指标体系、革新考核方法、优化流程、深化结果应用、加强数据治理、融入患者体验与长期价值，构建科学、高效、可持续的绩效管理体系，实现社会效益与运营效率的有机统一。更多还原

【Abstract】 Objective It analyzes the problems existing in the performance management system of public hospitals,and explores the optimization path oriented by public welfare and high-quality development. Methods Based on literature research and policy analysis,this paper focuses on the current situation of the internal performance management system of public hospitals,analyzes the problems from five dimensions: performance appraisal objectives,indicators,methods,processes,and result application,and proposes systematic optimization strategies. Results At present,the performance management system of public hospitals has some problems,such as target deviation,unreasonable index setting,lagging method,rigid process,and single application of results. Conclusion Public hospitals need to take public welfare and high-quality development as the“two-wheel drive”,and build a scientific,efficient and sustainable performance management system by reconstructing the indicator system,innovating assessment methods,optimizing processes,deepening the application of results,strengthening data governance,and integrating patient experience and long-term value,so as to achieve the organic unity of social benefits and operatio nal efficiency.更多还原