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目的:建立体现门诊诊次相对价值的绩效评价测算方法。方法:分析样本医院绩效考核分配改革以来临床科室对诊次绩效考核公平性的意见,访谈相关临床科室人员、并进行岗位工作观察。学习医疗行为相对价值评价的文献。分析样本医院医疗项目成本核算数据。结果:通过作业成本法、费用支付法测算资源消耗,建立基于资源消耗的门诊诊次相对价值的测算方法。样本数据测算结果显示诊次调整系数顺位排序与管理者印象基本一致。结论:该方法改进了门诊考核唯数量化的缺陷,为门诊诊次标准化绩效评价提供一种测算方法。
OBJECTIVE: To establish a method to evaluate the performance of patients in outpatient clinics. Methods: To analyze the opinions of clinical departments on the fairness of clinical performance examination during the reform of performance appraisal and distribution in sample hospitals, to interview relevant clinical departments staff and to observe the positions. Literature to Evaluate the Relative Value of Medical Behavior. Analyze sample hospital medical project costing data. Results: By using the method of activity-based cost and cost-payment, the consumption of resources was estimated and the method of calculating the relative value of out-patient clinics based on resource consumption was established. The results of sample data show that the rank order of adjustment coefficient of clinic is consistent with the impression of manager. Conclusion: This method improves the only quantification flaw in outpatient examination, and provides a measure for standardization of outpatient service performance evaluation.