School of Management, Lanzhou University, Lanzhou, China.
Front Public Health. 2022 Oct 10;10:1009780. doi: 10.3389/fpubh.2022.1009780. eCollection 2022.
The government performance appraisal of public hospitals serves as an effective management tool to promote high-quality development. It is also an important means of realizing the "Healthy China" initiative. Since the founding of the People's Republic of China, changes in performance appraisal have been divided into the following four periods: the early stage of performance appraisal (1949-1977), the exploration period (1978-2008), the development period (2009-2018), and the integration period (2019-present). This clarifies the regional practice of public hospital performance and identifies the institutional factors of the evolution. It also demonstrates that administrative forces, market-driving forces, and mission-driving forces combine to bring about change in the public hospital performance appraisal system. However, problems such as insufficient application of performance appraisal and coordination between health administrative departments and medical insurance departments still loom large.
公立医院政府绩效考核作为促进高质量发展的有效管理工具，也是实现“健康中国”战略的重要手段。新中国成立以来，公立医院绩效考核历经起步阶段（1949-1977 年）、探索阶段（1978-2008 年）、发展阶段（2009-2018 年）、融合阶段（2019 年至今），理清了公立医院绩效考核的区域实践，识别出制度因素的演变，揭示了行政力量、市场力量和使命力量共同推动公立医院绩效考核制度变迁，但是绩效考核应用不足、卫生健康行政部门与医疗保障部门协同不够等问题依然突出。
