上海市公立医疗卫生机构人力成本分析.pdfVIP

口政策研究 ??????????????????34????1??(????383??)2015??1?? 上海市公立医疗卫生机构人力成本分析 李芬①，金春林①②，王力男①，王常颖①，吴博生③ 摘 要目的：分析上海市卫生人力成本现状及薪酬筹资机制存在问题，提出完善收入分配机制、提高服务绩效的政策建 议。方法：利用??—??年公立医疗卫生机构财务年报，描述了上海市卫生人员的人力成本总量、水平、结构；并与国内 其他行业进行比较。结果：??—??年，上海市公立医疗卫生机构人力成本占机构总收入的比重从?．?ハ陆档???％， 人均成本从?．?蛟T龀さ???万元。医疗机构级别越高，收入越高；收入结构以奖金为主，医疗机构级别越高，奖金所占 ????????????????????76????????????37????????????????????????????????????????????2???????????????????????????? 生机构人员收入水平差异大，工资结构以奖金为主，与创收未脱钩。建议理顺不同级别医疗机构工资水平。构建以技术为导 向、与服务定位相匹配的收入分配机制。 关键词医疗卫生机构；人力成本；上海 ??????????R1??9??R19??O??????????A????????1003??0743(2015)01??0009??04DOl 10_766??CH ???? ? the Human Expenditure for ??? MedicaI Institlltions ? Shanghai??I??琂? Chun??lin??WANGLi??nan?? ? a1??????Chinese??? Economics??2015??34(1)??9??12 ???? obiective??Toanalyze the current sjtuatjon ? ??? human expenditure and the ???? ???? ? ??? ???? mechanjsm ? Shanghaj??andpropose the ??? ????? fbr imp??ementing??? aUocation mechanism and improVjng serVjce e{????f ???．????篣?? anllual financing ?????—? l ?? ???? the all quantitv??1eveland constmction ? human ?? fbr ??姊? ??? staff5??comp????e?? other ???? enterprises??ResuIts??The?’???? ? ??? worktorce expendjture ?