【作者】 张薇；

【导师】 张军波； 徐志勇；

【作者基本信息】 广东工业大学 ， 会计硕士（专业学位）， 2018， 硕士

【摘要】 随着国家政策的大力推动,以及基层医疗服务体系的基本健全,社区卫生服务中心的功能逐渐完善,在促进基本公共卫生服务均等化发展、维护居民健康等方面起到了至关重要的作用。但是随着人们日益增长的对美好生活的向往,以及老百姓对社区卫生服务的需求增加,机构的设置、医疗专家医生配备、医疗服务能力及管理水平等方面需要进一步加强和完善。社区卫生服务中心必须重视医疗卫生服务水平和管理水平,从社区中心的愿景与战略考虑,在社区卫生服务中心的日常管理经营过程中,重视绩效管理,提升全员积极性,强化绩效考核评价指标体系的优化过程至关重要。本文以H社区卫生服务中心为研究对象,以绩效评估理论为指导,在分析H社区卫生服务中心绩效评估体系现状及问题的基础上,引入平衡计分卡技术,站在医院整体的角度,从财务、患者、内部流程与学习成长四个层面构建了一套H社区卫生服务中心的绩效评价考核指标体系。采用德尔菲法,细化和确定了社会责任、患者负担和医院文化等11个二级指标,在二级指标的基础上再细化为患者满意度、市场占有率等等23个三级指标。接着,采用层次分析法确定各层指标的权重,构建基于平衡计分卡的H社区卫生服务中心绩效考核评价指标体系模型。最后,结合H社区卫生服务中心的实际情况提出了改善社区卫生服务中心绩效评估指标体系的对策建议。通过本文的研究,有助于对H社区卫生服务中心绩效评价体系优化提供参考,使管理层在社区卫生服务中心发展过程中合理优化绩效考核评价指标体系,为管理者在制定绩效考核体系提供管理建议。此外,还有助于建立一套符合国家政策的、结合社区卫生服务中心的、具有实践应用性的绩效考核评价指标体系,对社区卫生服务中心发展提供借鉴意义。更多还原

【Abstract】 With the vigorous promotion of the national policy and the basic soundness of the primary medical service system,the function of the community health service center has gradually improved,which has played a crucial role in promoting the equalization of basic public health services and maintaining the health of residents.However,with people’s growing desire for a better life and the increasing demand for community health services from the general public,institutional settings,the provision of medical specialists,medical service capabilities,and management levels need to be further strengthened and improved.The community health service center must pay attention to the level of health care services and management level.From the perspective of the community center’s vision and strategy,in the day-to-day management and operation of the community health service center,we should pay attention to performance management,enhance the enthusiasm of all employees,and strengthen the performance evaluation and evaluation index system.The optimization process is very important.This article takes the H community health service center as the research object,and takes the performance evaluation theory as the guide.Based on the analysis of the status quo and problems of the H community health service center performance evaluation system,it introduces the balanced scorecard technology and stands from the perspective of the hospital as a whole.Four levels of finance,patient,internal flow and learning and growth have built a set of performance evaluation and evaluation index system for H community health service centers.Using the Delphi method,11 secondary indicators such as capital operations,patient burdens,and hospital culture were refined and determined.On the basis of the secondary indicators,23 third-level indicators such as patient satisfaction and market share were refined..Then,using the analytic hierarchy process to determine the weight of each layer of indicators,build a performance evaluation system model of H community health service center based on the balanced scorecard.Finally,combining with the actual situation of H community health service center,the countermeasures to improve the performance evaluation system of community health service center are proposed.Through the research of this article,it is helpful to provide reference for the optimization of performance evaluation system of H community health service center,so that the management can reasonably optimize the performance assessment system in the development process of community health service center,and provide management suggestions for managers to formulate performance assessment system.In addition,it also helps establish a set of performance appraisal system that is in line with the national policy,combined with the community health service center,and has practical application performance,and provides reference for the development of the community health service center.更多还原