我国的传染病医院在传染病疫情的防控上起着非常重要的作用，但由于传染病医 院业务相对单一，传染病病源分流，医务人员知识结构有待优化，加之与新医改政策 衔接不相适应等问题，传染病医院的发展进入到了瓶颈期。在这种形势下，传染病医 院必须从其自身入手，加强内部管理，完善制度，优化其绩效评价体系以提高医疗服 务质量、激发员工的积极性、培养员工的责任心和向心力，以此提升医院的综合实力。 这样才能更好地完成类似于非典（SARS）、甲型H1N1、H7N9病毒等疫情的防治工作， 为人民群众的生命健康保驾护航。 随着国家新医改政策的的深入推进，对公立医院进行绩效管理的探索已经成为公 立医院改革的重要组成部分，而绩效评价这一环节是绩效管理中至关重要的一部分， 本文试图从传染病医院这类特殊公立医院的实际情况出发，通过深入调查分析H市传 染病医院现行绩效考核体系,分析其弊端，结合新医改政策和《三级传染病医院评审 细则》和相关医院的实践经验,运用平衡计分卡结合KPI的方法设计了一套以医疗质 量、患者满意度等为主要评价指标的绩效评价指标体系，结合问卷调查法和层次分析 法确定指标权重，并提出实施建议，达到优化其绩效评价指标体系的目的，从而提高 职工的积极性和主动性，促进其提升自身业务水平，实现传染病医院社会效益与经济 效益的统一。 关键词：传染病医院 绩效评价 指标体系 优化 III ABSTRACT Infectious disease hospitals in China play an important role in the prevention and control of infectious disease epidemics. However, due to the relatively single business of infectious disease hospitals, the diversion of infectious disease sources, the need to optimize the knowledge structure of medical staff, and the incompatibility with the new medical reform policy, the development of infectious disease hospitals has entered a bottleneck period. In this situation, infectious disease hospitals must start from their own, strengthen internal management, perfect the system, optimize their performance evaluation system to improve the quality of medical services, stimulate the enthusiasm of employees, and cultivate their sense of responsibility and centripetal force, so as to enhance the comprehensive strength of the hospital. Only in this way can we better complete the prevention and control of SARS, H1N1, H7N9 and other epidemics, and protect the lives and health of the people. With the deepening of the new national health care reform policy, the exploration of performance management of public hospitals has become an important part of the reform of public hospitals, and performance evaluation is a crucial part of performance management. This paper attempts to proceed from the actual situation of special public hospitals such as infectious diseases hospitals, through in-depth investigation and analysis of the current performance of infectious diseases hospitals in H city. Through the analysis of drawbacks of assessment system, the new medical reform policy, the "Rules for Assessment of Third Class Infectious Disease Hospitals" and the practical experience of relevant hospitals, the method of Balanced Scorecard and KPI, as a performance evaluation index system, are designed to evaluate the medical quality and patient satisfaction. The weight of indicators are determined by the questionnaire survey and analytic hierarchy, and suggestions are put forward to optimize the performance evaluation index system, so as to improve the enthusiasm and initiative of employees, promote their own business level, and achieve the unity of social and economic benefits of infectious disease hospitals. Keywords: Infectious disease hospitals performance appraisal Index system Index system V 目 录 摘要 ......................................................................................................................................... I Abstract ............................................................................................................................. III 第一章 绪论 ....................................................................................................................... 1 1.1 研究背景 ....................................................................................................................... 1 1.1.1 医疗卫生行业发展方向 ....................................................................................... 1 1.1.2 公立传染病医院发展方向 ................................................................................... 1 1.2 研究意义 ....................................................................................................................... 2 1.2.1 理论意义 ............................................................................................................... 2 1.2.2 现实意义 ............................................................................................................... 2 1.3 文献综述 ....................................................................................................................... 2 1.3.1 国外关于医院绩效评价指标体系的研究现状 ................................................... 2 1.3.2 国外传染病专科医院绩效评价指标体系研究现状 ........................................... 3 1.3.3 国内关于医院绩效评价指标体系的研究现状 ................................................... 4 1.3.4 国内传染病专科医院绩效评价指标体系研究现状 ........................................... 5 1.4 研究思路与方法 ........................................................................................................... 6 1.5 本研究的创新点 ........................................................................................................... 6 第二章 平衡计分卡理论及医院绩效评价指标特征 ....................................................... 7 2.1 平衡计分卡理论 ....................................................................................................... 7 2.1.1 平衡计分卡之平衡理念 ....................................................................................... 7 2.1.2 平衡计分卡四维度的特征 ............................................................................... 7 2.1.3 指标框架 ........................................................................................................... 8 2.2 公立医院绩效评价指标的特征 ............................................................................... 9 2.2.1 公立医院的特征 ............................................................................................... 9 2.2.1.1 医院的外部环境 ..................................................................................... 10 2.2.1.2 医院的内部环境 ...................................................................................... 11 2.2.2 医院绩效评价指标特征 .................................................................................. 11 第三章 H市传染病医院现行绩效评价指标体系及存在的弊端分析 .......................... 13 3.1 H市传染病医院简介 .................................................................................................. 13 3.2 H市传染病医院内外部环境分析 .............................................................................. 15 VI 3.2.1 H市传染病医院外部环境分析 ......................................................................... 15 3.2.1.1 面临严峻形势 ............................................................................................. 15 3.2.1.2 新的机遇 ..................................................................................................... 16 3.2.2 H市传染病医院内部环境分析 .......................................................................... 16 3.2.2.1 优势分析 ..................................................................................................... 16 3.2.2.2 劣势分析 ..................................................................................................... 16 3.3 H市传染病医院绩效评价指标体系现状 .................................................................. 17 3.3.1 科室评价 ............................................................................................................. 17 3.3.2 科室职工评价 ..................................................................................................... 22 3.4 现行绩效评价指标体系的弊端 .....