绩效改革是公立医院改革的重要组成部分,具有标杆作用。本文首先讨论了公立医院现行的绩效导向,指出其不足后进一步提出了公立医院绩效改革“公益性”的逻辑起点,最后提出了绩效考核基本原则、设计绩效考核体系、建立绩效考核程序、改革绩效工资制度等四个方面公立医院公益性导向的绩效改革途径。 Performance reform is an important part of the public hospital reform, with a benchmark effect. This paper first discusses the current performance orientation of public hospitals, points out its inadequacy and then puts forward the logical starting point of public hospital performance reform “public benefit ” finally puts forward the basic principles of performance appraisal, designs the performance appraisal system, establishes the performance appraisal procedure, The reform of performance pay system and other aspects of public hospital public welfare-oriented performance reform.