深圳市临床医师技术等级评价制度试点进展分析

 
投稿时间: 2014-11-28  最后修改时间: 2015-01-27  摘要点击次数: 2381  全文下载次数: 3
 
引用本文:罗乐宣, 徐勇, 李创,等.深圳市临床医师技术等级评价制度试点进展分析[J].中国卫生政策研究,2015,8(2):36-40
罗乐宣1, 徐勇2, 李创1, 董国营2, 胡鹏飞2
1. 深圳市卫生和人口计划生育委员会 广东深圳 518001;
2. 深圳市公立医院管理中心 广东深圳 518020
 
 摘要:为改革医疗人才评价制度,推动建立以岗位为核心的人事管理制度及体现医务人员技术劳务价值的薪酬分配制度,深圳市在参考美国医保管理中心等国际权威机构的医生能力评价、医生工作量核定和风险衡量方法的基础上,探索建立了临床医师技术等级评价指标体系,确定医生技术等级划分的原则及标准。该制度建立后在对部分医疗人才试点评价(专科医院符合率高于综合医院,分别为78.9%和44.8%)、指导公立医院推进人事制度综合配套改革、评选临床医疗人才等方面显示了初步成效。临床医师技术等级评价制度的全面推进,还需不断提升社会各界及医生本身对技术等级评定的认知,并进一步完善配套政策。同时,加快完善非临床系列的技术等级评价体系。 
  关键词:临床医师  技术等级  评价制度
 
Analysis on grade evaluation system of physician competency in Shenzhen pilot project
LUO Le-xuan1, XU Yong2, LI Chuang1, DONG Guo-ying2, HU Peng-fei2
1. Health and Family Planning Commission of Shenzhen Municipality, Shenzhen Guangdong 518001,China;
2. Public Hospital Administration of Shenzhen Municipality, Shenzhen Guangdong 518020, China
 
 Abstract:In order to reform the medical talent evaluation system, establish evaluation systems of physician competency, and implement physician resources management systems according to work position, and the compensation system which reflects the value of medical services, The basic principles and standards of different physician tiers and grades are created in Shenzhen based on literature review, expert consultation and the methods from the American Centers for Medicare and Medicaid Services (CMS).Some results have achieved, including medical competency assessment of a certain number of physicians in the pilot project (the coincidence rate of special hospitals is higher than general hospitals, respectively 78.9% and 44.8%), comprehensive personnel systems reforms in public hospitals, and the trial selection of medical talents. The paper also provides some implications: The cognition of all sectors of society and physician themselves should be improved, Transitional policies for position recruitment and performance pay needs further improvement. Meanwhile, the grade evaluation system of non-physicians must also be given greater attention. 
 keywords:Physician  Grade of competency  Evaluation system