21家医院绩效考核住院费人均降296元 21 hospitals performance assessment run down 296 yuan per capita

　　昨天，北京市医院管理局公布了21家市属医院上半年绩效考核分析结果，在将患者看病费用和用药情况列入医院考核指标后，21家市属公立医院的过度用药、过度检查等行为得到明显遏制，住院患者人均花费与去年同期相比减少296元。

yesterday，Beijing hospital authority announced the municipal hospital home 21 first half performance evaluation analysis results，In patients will be a doctor expenses and drug use condition into the hospital after the evaluation index，21 home under the public hospital excessive drug use、Excessive examination, etc are obviously curbed，Hospitalized patients per capita spending compared with the same period last year to reduce 296 yuan。

结果 The results

接诊人数大幅度上升 Has substantially increased the number

　　总体看，21家市属医院在人员和实有病床没有增加的情况下，“总诊疗人次”和“出院人数”同比分别增加了185.85万人次和3.20万人次，相当于增加了一个综合医院的服务量。

Overall see，21 home city to hospital in the personnel and the actual sickbed did not increase，“Diagnosis and treatment of people always”and“Discharge number”Respectively compared to the increased by 1.8585 million people and 32000 people，Is equivalent to a general hospital increase of services。

　　“每医师日均负担门急诊人次”，比去年同期增加了0.5人次，增长了5.0%；特别是“平均住院天数”下降为10.1天，比去年全年下降了0.7天。

“Every doctor daily burden this people”，Than last year the corresponding period increased 0.5 people，Growth of 5.0%；especially“Aerage hospital days”Reduced to 10.1 days，Last year than fell 0.7 days。

　　市医管局表示，为了治理“大处方”等过度医疗行为，已将患者看病费用和用药情况列入医院考核指标，半年来过度用药、过度检查等行为得到明显遏制。1-6月份21家医院“门诊患者次均医疗费用”为394.4元，比去年同期下降了4元。“住院患者例均医疗费用”为18440元，比去年同期下降了296元。门诊和住院的费用指标分别比全市三级医院低6.3%和7.1%。

City hospital authority said，In order to control“DaChuFang”Excessive medical behavior, etc，Already patients will be a doctor and drug costs into hospital evaluation indexes，Half a year to excessive drug use、Excessive examination, etc are obviously curbed。1-June 21 hospitals“Clinic patients second all medical expenses”Is 394.4 yuan，Lower than the same period last year four yuan。“In both cases hospitalized patients with medical costs”For $18440，Lower than the same period last year 296 yuan。Outpatient service and be in hospital costs than the level 3 hospital index, low 6.3% and 7.1%。

探因 Agent for

患者满意度决定收入 Patient satisfaction decided to income

　　市医管局表示，自采用新型绩效考评体系后，21家市属公立医院普遍采用目标管理模式，将指标层层分解落实到具体部门、具体人。新型绩效考核体系中，最大变化是医院内从职工到院长的收入直接和患者满意度挂钩。各医院管理者对此普遍感觉到压力，相对把更多的精力放在医院管理上，逐步向职业化、科学化的管理者转变。

City hospital authority said，Since the new type after the performance evaluation system，21 home city to public hospitals widespread use of the target management mode，Will index layer upon layer decomposition assigned to specific department、Specific people。New performance evaluation system，The biggest change is in the hospital from worker to the income of the direct and patient satisfaction hooks。The hospital managers have generally feel pressure，Relatively more energy on hospital management，Gradually to a professional、The scientific management changes。

　　为了提高患者满意度等各项指标的完成率，各医院通过建立门诊服务中心、志愿者导医、给专家配助手、改建厕所等多种方式，全方位提高医院服务的品质，多维度改善患者的就诊感受，想方设法提高患者满意度，提升医院品牌影响力。上半年21家市属医院综合满意度平均达到87%，其中门诊满意度为81.78%，住院满意度为92.39%。

In order to improve the patient satisfaction of such indicators conceptions，The hospital through the establishment of outpatient service center、Volunteers DaoYi、To experts with assistant、Rebuilding the toilet and so on many kinds of ways，-to improve the quality of the hospital services，Multidimensional improve patients with clinic experience，Trying to improve patient satisfaction，Ascension hospital brand influence。In the first half and home city to an average of 87% hospital comprehensive satisfaction，One outpatient service satisfaction was 81.78%，Hospital satisfaction was 92.39%。

问题 question

17家医院花费需控制 17 hospitals to control costs

　　市医管局表示，医院的基本运行和卫生材料支出还需严格控制，上半年“万元医疗收入基本运行及卫生材料支出”指标，17家医院没有达到医管局提出的“比去年下降5%”的考核目标要求。

City hospital authority said，The basic operation and hospital hygiene material spending also must strictly control，In the first half“Ten thousand yuan medical income basic operation and hygiene material spending”index，17 hospitals did not reach the hospital authority proposes“5% lower than last year”Assessment of objectives。

　　另外，“药占比”(病人就诊期间，药费与检查、治疗费的比例)还需从机制上寻求突破。上半年，门诊和住院的“药占比”平均值分别比去年增加了1.4和0.8个百分点。而友谊医院试点取消以药补医、实施医药分开以来，“药占比”从64.4%降至54.5%。(记者李秋萌)

In addition，“Medicine accounted for more than”(During the patients' clinical，Expenses for medicine and check、Treatment of the proportion of the)Still need to seek the breakthrough from mechanism。In the first half，Outpatient service and be in hospital“Medicine accounted for more than”Average than last year were 1.4 and 0.8%。But friendship hospital pilot cancel to medicine for medical treatment、Since the implementation of the pharmaceutical separate，“Medicine accounted for more than”From 64.4% to 54.5%。(Reporter LiQiuMeng)