Research On Optimization Of Performance Appraisal Scheme Of AY Hospital

Since the reform and opening up,China’s medical and health services have entered a stage of rapid development,making positive contributions to improving the people’s medical environment and ensuring their medical needs.However,the current performance appraisal system of public hospitals can not effectively stimulate the enthusiasm of medical personnel,to a certain extent,it restricts the further development of public hospitals,and can not meet the people’s diversified,high-quality and efficient medical needs,leading to the problem of "difficult and expensive to see a doctor".Since 2009,the state has successively issued a number of opinions on promoting the performance reform of public hospitals.Through improving the top-level design,it has guided public hospitals to change the previous extensive management mode and achieve high-level,refined and efficient development.Based on the theory of Balanced Scorecard and Analytic Hierarchy Process,this paper optimizes the current performance appraisal index system for public hospitals,plays a certain role in solving the problem of public hospitals’ "lack of strategy oriented performance appraisal scheme",and enhances their competitiveness.In this paper,a third class public hospital-AY Hospital is selected as a case for research.With reference to the theory of management by objectives and performance management,the current performance appraisal system of AY Hospital is comprehensively investigated and analyzed by means of questionnaires,field interviews and other methods,and the problems affecting its development are analyzed.According to the actual operation and strategic objectives of the hospital,in view of the shortcomings of the current performance appraisal scheme,the balanced scorecard method and key indicator method were used to optimize the performance appraisal indicator system from the four dimensions of finance,patients,internal processes and learning and growth.Non financial indicators were introduced to reduce the proportion of financial indicators.The hierarchical structure model of indicators was constructed by the analytic hierarchy process,and the weight of indicators was determined by combining the expert scoring method,Realize the optimization of performance appraisal of AY Hospital.Finally,it puts forward optimization suggestions on how to realize further development of hospitals,improve the performance appraisal system,and give consideration to economic and social benefits,which has reference significance for hospitals of the same type.This paper is divided into five chapters.The first chapter describes the research background,analyzes the necessity of the research from the theoretical and practical significance,summarizes the current research direction through the research of domestic and foreign research literature,briefly describes the research ideas and methods,and finally introduces the innovation and shortcomings of this paper.The second chapter introduces the relevant theoretical basis of performance management,elaborates the general methods of performance appraisal,and focuses on the introduction of the analytic hierarchy process.The third chapter introduces the basic overview of AY Hospital and the status quo of performance appraisal.Through questionnaire survey and field investigation,the hospital operation data are collected,and the problems and causes in performance appraisal are analyzed.The fourth chapter puts forward the performance optimization design scheme according to the actual situation of AY Hospital.The balanced scorecard method is used to organically unify the financial indicators and non-financial indicators.The analytic hierarchy process is used to assign the weight of the indicators and evaluate the optimized results.The fifth chapter is the conclusion of this study,and gives suggestions for the further development of AY Hospital.