I 摘要 在我国，公立医院是医疗服务体系的主体，担负着维护人民群众健康的重任，也 是医改的重点和难点。近年来，公立医院在发展与改革过程中 ，暴露出了资源分布不 均衡、人员配置不合理、工作效率低、积极性不高、人才流失严重等问题，严重制约 了医疗事业的发展。为了进一步提高公立医院的现代化管理，国务院 办公厅2019年 发布了《关于加强三级公立医院绩效考核工作的意见》，表示将通过绩效考核，推动 三级公立医院在发展方式上由规模扩张型转向质量效益型，在管理模式上由粗 放的行 政化管理转向全方位的绩效管理，促进收入分配更科学、更公平，实现效率提高和质 量提升，促进公立医院综合改革政策落地见效。这个文件的出台，为公立医院绩效改 革指明了目标和方向。 公立医院综合改革是全面深化医改的重点任务之一，被称为“硬骨”，是最难深化 的医改。绩效改革作为公立医院改革的核心内容，对公立医院综合改革 的成败有着重 要的影响。基于此背景，本文以三级公立医院——A县人民医院（以下简称A医院） 作为研究对象，通过资料收集、员工访谈、问卷调查、数据分析等方法，对A医院 现行的绩效管理组织结构和人力资源管理、绩效考核与成本核算管理状况进行了实地 调查研究，在分析A医院员工绩效管理的现状及其存在的问题的基础上，以A医院 战略目标为 导向，构建了基于目标管理法的绩效管理框架，设计了关键指标（KPI） 绩效考核体系，最终形成了覆盖医院、科室与个人三个层次，集预算编制、工作量核 算、成本核算、绩效 考核等内容于一体的A医院绩效管理优化方案。 A县人民医院作为三级公立医院，在基层医疗行业具有一定的代表性，本文对A 医院员工绩效管理的优化方案设计，有助于优化医院 各方面的资源配置，提高员工的 积极性，促进工作效率的提高和工作质量的提升，推动A医院现代化管理的实施。 本文的研究能够为我国公立医院绩效考核工作的实施提供参考和 借鉴。 关键词：目标管理，绩效考核，绩效管理，KPI考核，公立医院 Abstract II Abstract In China, public hospitals are the main body of the medical service system, which are responsible for the maintenance of people's health, and also the focus and difficulty of medical reform. In recent years, in the process of development and reform, public hospitals have exposed the problems of unbalanced distribution of resources, unreasonable staffing, low work efficiency, low enthusiasm and serious brain drain, which have seriously restricted the development of medical services. In order to further improve the modern management of public hospitals, the general office of the State Council issued the opinions on strengthening the performance appraisal work of three- level public hospitals in 2019, saying that it will promote the development of three-level public hospitals from the scale expansion type to the quality, quantity and efficiency type, from the extensive administrative management to the all-round performance management, and promote The income distribution is more scientific and fair, the efficiency and quality are improved, and the comprehensive reform policy of public hospitals is implemented effectively. This document points out the goal and direction for the performance reform of public hospitals. The comprehensive reform of public hospitals is one of the key tasks of comprehensively deepening medical reform, which is called "hard bone" and the hardest to deepen. As the core content of public hospital reform, performance reform has an important impact on the success or failure of the comprehensive reform of public hospitals. Based on this background, this paper takes A county people's Hospital (hereinafter referred to as hospital A) as the research object, through data collection, employee interview, questionnaire survey, data analysis and other methods, conducts field investigation and Research on the current performance management organization structure, human resource management, performance assessment and cost accounting management of hospital A, and analyzes the performance of employees in hospital A Based on the current situation and existing problems of efficiency management, and guided by the strategic objectives of hospital A, this paper constructs a performance management framework based on the objective management method, designs a KPI performance evaluation system , and finally forms three levels covering hospital, department and individual, including budgeting, workload accounting, cost accounting and performance evaluation And so on. Hospital A, as a three-level public hospital, has certain representativeness in the grass-roots medical industry. In this paper, the optimization scheme design of performance Abstract III management of hospital A staff is helpful to optimize the resource allocation of all aspects of the hospital, improve the enthusiasm of staff, promote the improvement of work efficiency and work quality, and promote the implementation of modern management of hospital. This study can provide reference for the implementation of performance appraisal in public hospitals in China. Key words: objective management, performance appraisal, performance management, KPI, public hospital 目 录 IV 目 录 摘要 .................................................................................................................................................... I Abstract ............................................................................................................................................... II 目 录 ................................................................................................................................................. IV 1 绪论 ..................................................................................................................................................... 1 1.1 研究背景及意义 .................................................................................................................. 1 1.1.1 研究背 景........................................................................................................................ 1 1.1.2 研究意 义........................................................................................................................ 2 1.2 国内外研究现状 .................................................................................................................. 2 1.2.1 国外相关研究 ................................................................................................................ 2 1.2.2 国内相关研究 ................................................................................................................ 3 1.2.3 研究述 评........................................................................................................................ 4 1.3 研究目的与内容 .................................................................................................................. 5 1.3.1 研究目 的........................................................................................................................ 5 1.3.2 研究内 容........................................................................................................................ 5 1.4 研究方法与技术路线 ......................................................................................................... 5 1.4.1 研究方 法........................................................................................................................ 5 1.4.2 技术路 线........................................................................................................................ 6 1.5 可能的创新之处 .................................................................................................................. 6 2 理论基础 ......................................................................................................................................... 8 2.1 绩效管理 ................................................................................................................................ 8 2.1.1 绩效管理的定义与组成 ................................................................................................ 8 2.1.2 医院绩效管理 .......................................