| 引用本文：王清波, 高晓彤, 代涛, 李力, 郑英.福建省尤溪县公立医院薪酬激励机制改革研究[J].中国卫生政策研究,2019,12(5):32-37 |
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| 福建省尤溪县公立医院薪酬激励机制改革研究 |
| 投稿时间：2019-03-18 修订日期：2019-04-16 PDF全文浏览 HTML全文浏览 |
| 王清波1, 高晓彤1,2, 代涛1, 李力1, 郑英1 |
1. 中国医学科学院医学信息研究所 卫生政策与管理研究中心 北京 100020;
2. 北京协和医学院 北京 100730 |
| 摘要:本研究运用薪酬激励机制的分析框架，从制度、组织、个人三个层面和公平性、有效性、合法性三个维度，对尤溪县公立医院薪酬制度改革的基本思路、主要措施、取得的成效和存在的问题进行了深入分析。建议健全公立医院薪酬总额动态增长机制，维护薪酬的外部公平和个人公平；适当提高固定薪酬占薪酬总额的比例，更好体现薪酬的经济保障作用；建立和完善具有中长期效应的激励机制，更好发挥薪酬的激励约束作用；加强薪酬制度与医保制度的联动衔接，逐步实现制度之间的激励相容。 |
| 关键词:公立医院 薪酬制度 激励机制 |
| 基金项目:国家卫生健康委员会体制改革司委托项目；中国医学科学院医学与协同创新工程创新团队项目（2016-I2M-3-018） |
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| Study of the salary incentive mechanism of public hospitals in Youxi county, Fujian province |
| WANG Qing-bo1, GAO Xiao-tong1,2, DAI Tao1, LI Li1, ZHENG Ying1 |
1. Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. Peking Union Medical College, Beijing 100730, China |
| Abstract:Using the analysis framework of salary incentive mechanism, this study analyzes the basic ideas, main measures, achievements and existing problems of the salary system reform of public hospitals in Youxi county in depth from three aspects of system, organization and individual, and from three dimensions of fairness, effectiveness and legitimacy. Based on the study findings, this paper proposes the following:1) improve the dynamic growth mechanism of total remuneration in public hospitals, in order to maintain external fairness and personal equity of remuneration; 2) appropriately increase the proportion of total remuneration in fixed remuneration, in order to better reflect the economic security role of remuneration; 3) establish and improve incentive mechanisms with medium and long-term effects, in order to better play the role of incentives and restraints of compensation; 4) strengthen the linkage and convergence of the salary system and the medical insurance system, in order to gradually realize the incentive compatibility between the systems. |
| Key words:Public hospital Salary system Incentive mechanism |
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