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基于HRP和BSC构建军队医院绩效评价指标体系
胡晓媛1,杨少春2,余钢2,沙琨3,孙庆文4,郭强3*
0
(1. 第二军医大学科研部,上海 200433
2. 第二军医大学长海医院财务供应科,上海 200433
3. 第二军医大学训练部,上海 200433
4. 第二军医大学基础部数理教研室,上海 200433
*通信作者)
摘要:
目的构建医院绩效评价指标体系,为使军队医院适应新医改要求、合理配置医疗资源、提升整体绩效提供理论支持。方法从现状出发,基于平衡计分卡(BSC)思想,结合医院整体运营管理(HRP)系统,综合运用层次分析(AHP)法和专家咨询法,建立一套包含财务、患者、内部流程和学习发展4个维度的军队医院绩效评价指标体系。结果确立了军队医院绩效评价体系,包括4个一级指标、13个二级指标、55个三级指标。结论基于HRP和BSC进行绩效评价,有利于军队医院优化资源配置,实现医院优质、低耗、高效、科学地发展。在具体应用中,应及时调整,注意评价指标的时效性和科学性。
关键词:  医院整体运营管理  平衡计分卡  军队医院  绩效评价
DOI:10.3724/SP.J.1008.2012.00912
投稿时间:2012-05-01修订日期:2012-07-24
基金项目:
HRP- and BSC-based system for evaluating performance of military hospitals
HU Xiao-yuan1,YANG Shao-chun2,YU Gang2,SHA Kun3,SUN Qing-wen4,GUO Qiang3*
(1. Division of Scientific Research Administration, Second Military Medical University, Shanghai 200433, China
2. Department of Finance, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
3. Division of Training, Second Military Medical University, Shanghai 200433, China
4. Department of Mathematics & Physics, College of Basic Medical Sciences, Second Military Medical University, Shanghai 200433, China
*Corresponding author.)
Abstract:
ObjectiveTo set up an evaluation system for hospital performance, so as to meet the requirement of health system reform, to properly allocate health resources, to effectively standardize the administration of military hospitals, and to upgrade their overall performance. MethodsAccording to the current situation, an evaluation system for performance of military hospitals, which including four domains-finance, patients, internal flow, and learning and progression, was established based on the balanced scorecard (BSC) ideology using the hospital resources planning (HRP) system, analytic hierarchy process (AHP) and Delphi method. ResultsWe established an evaluation system for the performance of military hospitals, which including four first level parameters, 13 second level parameters, and 55 third level parameters. ConclusionHRP combined with BSC for evaluating hospital performance can help the proper allocation of health resources in military hospitals, contributing to the sound, cost-saving and highly efficient administration of hospitals. Adjustment should be made in actual application, and attention should be given to the time effectiveness and scientific nature of the parameters.
Key words:  hospital resources planning  balance scorecard  military hospitals  evaluation of performance