Study On The Strategic Performance Management In Public General Hospital

Hospital performance management is not only a focus difficult problem in currently hospital management research field, but also an important measure to promote to strengthening supervision to public hospitals in the new medical reform policy.ObjectiveIt aims to set up the strategic performance management system based on public welfare, equity and development needs of the public hospital, through the study on the content and characteristic of the strategic performance of the public general hospital. So it could provide theoretical guidance and ideas to solve the problem of hospital performance management.Data source and analysis methodThe information collects from the health statistics yearbook, the government and public hospital data, literature database, expert interviews. It adopts to several methods, such as the literature search, document analysis, standard analysis and logical reasoning to analyse human resources management, institutional economics, public policy, health policy, hospital management and so on in the theoretical analysis part. It use SAS9.0 software in the statistical analysis part.Analysis of resultsIt analyses the concept and form of the hospital performance, through the analysis of the content, feature and form of the organizational performance, combined with hospital characteristics. It also analyses the concept and feature of the hospital performance management, combined with the comparative study of government departments, institutions and other organization performance management.It constructs the criterion principles of strategic performance evaluation under the public welfare and social responsibility. The criterion principles filter the content frame of strategic performance evaluation for different types general hospital, combined with the classification of public general hospitals. Then it forecasts the influence to the public hospital behaviors using the qualitative and quantitative methods. It establishes several models to simulate the performance formation in different condition, using the simple method. It compares the influence of subject on strategic performance, and tries to find the key of the performance formation, and provides the basis for strategic performance management.It designes the strategic performance management system in public hospital, which including two levels, four blocks and seven loop subsystems. It sets government and public hospital as the subject in charge in strategic performance management in order to achieve strategic objectives and continuously improve performance, integrates the hospital performance such as medical, financial, human resources, hospital management performance through the performance cycle. The establishment of corporate governance structure in public hospital could adjust the strategic performance management system, set clear strategic objectives, give the responsibility of performance management. The board should undertake the regulation responsibility of the strategic performance in public hospitals. Several performance incentive mechanism of operator in public hospital, such as economy, power, reputation and promotion is analyzed, under the restriction of nonprofit responsibility and strategic mission. Then it focus on organizational framework and responsibilities within the hospital.Conclusions and suggestionThe strategic performance goals play a significant role in implementation performance in public hospital. The public welfare and public service values are the impetus role in the strategic performance formation process. The government and hospital management organizations must take all kinds of management measures to integrate all types of performance together as a strategic performance, driven by core values. The effective management depends on the motivation and ability of the person in charge. The corporate governance of public hospital could strengthen performance management responsibilities in the government level. The board in the form of regulatory could improve the performance management capabilities. The performance incentive mechanism can motivate the operator of public hospital. It is actual needs to distinguish the responsibility of the performance management system in the hospital level.Innovation and shortageIt propose three forms of the hospital performance, such as output, behavior and ability, expands the scope and content of the concept, provides the theoretical basis for the study on the hospital management performance. It studies the strategic performance formation mechanism, which provide a clue to dynamic analyse the strategic performance, try to find the key problem of the performance management. It designes the criterion principles based on public welfare and social responsibility, to provide methods and standards to filter performance evaluation contents and index. It proposes performance evaluation framework in various general hospital, using these criterion principles. The strategic performance circulation system theory is a useful exploration to solve the current problem. The study on the impact on the strategic performance management which including governance mechanism, the board and the operator incentive mechanism and so on, is not only the requirements of developing hospital performance in the new medical reform period, but also the exploration to strengthen performance management in the government level.Part of the assumptions and conclusions lack of sufficient evidence to verify the reality. It also lacks of field research data.