摘 要 ............................................................................................................................I 目 录 .........................................................................................................................IV 图清单 ......................................................................................................................VIII 表清单 ...........................................................................................................................X 1 绪论 ............................................................................................................................1 1.1 研究背景 ..........................................................................................................1 1.2 研究意义 ..........................................................................................................2 1.3 国内外研究综述 ..............................................................................................3 1.4 研究思路与方法 ..............................................................................................6 2 医院绩效管理理论 ....................................................................................................8 2.1 绩效管理 ..........................................................................................................8 2.2 医院绩效管理 ................................................................................................12 3 X 医院绩效管理现状及问题分析 ...........................................................................14 3.1 X医院简介 .....................................................................................................14 3.2 X医院绩效管理现状 .....................................................................................17 3.3 绩效管理体系问题及成因分析 ....................................................................30 4 基于 BSC 的 X 医院绩效管理体系优化设计 .......................................................35 4.1 优化思路 ........................................................................................................35 4.2 明确X医院发展战略 ...................................................................................36 4.3 绩效评价指标体系优化 ................................................................................38 4.4 优化绩效执行建立监管辅导机制 ................................................................49 4.5 建立科学有效的绩效评价体系 ....................................................................50 4.6 绩效反馈与申诉流程 ....................................................................................51 4.7绩效结果的应用措施 .....................................................................................53 5 新绩效管理体系实施保障及预期效果 ..................................................................55 5.1 实施保障 ........................................................................................................55 5.2 实践预试效果 ................................................................................................58 6 结论与展望 ..............................................................................................................65 V 6.1 研究结论 ........................................................................................................65 6.2 研究展望 ........................................................................................................66