【正文】 urther improving the quality of health care in pliance with laws, rules and regulations. “Managing assets”, however, calls for maintaining state owned assets and maximizing their benefits. After HMC was established, “entrusting system” reform, characteristic of economic index assessment put into practice years ago, has been furthered into the reform of “target responsibility system set for the office term of the legal representative entrusted to manage medical service and assets operation”. This system focuses on prehensive assessment which is made over the social benefits and business performance and attaches importance to reaching the goal of hospital operations, with a view to exploring a mode of separating ownership and management to realize public welfare and activate hospital. In terms of function, the power over hospital business management, human resources recruit and financial allocation is distributed to lower levels to energize hospital, which serves to undertake faculty construction, talents training, medical services and operations. HMC has issued hundreds of assessment criteria amounting to 1000 marks posed of 17 items covering eight types and six aspects, namely hospital management, hospital information, medical security, medial service, financial practice and medical ethics. In this connection, it is very important for a hospital to correctly establish a general goal which satisfies its own development and act on this goal as planned step by step.我所在的無錫市第四人民醫(yī)院是一所集醫(yī)療、教學、科研、預防、保健為一體的衛(wèi)生部首批三級綜合性醫(yī)院，是無錫市腫瘤醫(yī)院和蘇州大學附屬第四醫(yī)院；也是蘇州大學生命科學學院臨床腫瘤和分子生物研究所、無錫市腫瘤防治研究所所在地；無錫市心胸外科治療中心和無錫市麻醉科質量控制中心均設在我院。How can we, as a largesized stateowned public hospital, adapt to the new situation where the medical system is unchanged but the business operation is changed to plete tasks assigned by HMC? How can we approach the challenges when people have an overdemand for medical services but the employees are irregular in quality? How can we maintain exuberant vitality when foreignfunded hospitals flooded in after the medical market was opened, vigorous development of private hospitals at home and acute petition between public hospitals in the market economy? Although there are allaround and unprecedented challenges, they are acpanied by opportunities. A hospital manager shall not only specify the hospital’s direction, but also lead the staff to specify their own. Of course, all managers look forward to having a method by which the staff are involved together and make self management so that everyone has a clear mind that they are in the same boat. 績效管理文獻回顧：Review of the literature on performance management:績效考核是醫(yī)院管理的一個重要手段和方法，是對管理目標實現(xiàn)和評價的客觀、公正的體現(xiàn)。美國最近的一項有關社區(qū)醫(yī)院的研究已涉及到開發(fā)一個戰(zhàn)略操作管理模式（3），該模式將遠期設備和服務選擇，中層決策支持以及考慮了結構約束后的社區(qū)醫(yī)院績效聯(lián)系起來。2005年《醫(yī)院管理評估指南》中將社會效益、工作效率、經濟運行狀況三個方面作為醫(yī)院績效評價的主要內容（12）。在科室綜合目標責任制中，除了按要求完成醫(yī)療任務，以取得最佳經濟效益外，沒有什么特殊的工作需要完成，而且這種醫(yī)療任務一般不設最低要求，也很難設置最低要求。 one is to appraise behavior of the appraisal subject is controlled by means of appraisal on the actual performance so as to lead him/her to approach the set objective。 In public hospitals, performance assessment is designed to indicate the work load of medical staff, reduce waste and improve hospital running efficiency, but the current practice can’t meet this goal. How can we establish an effective performance assessment approach? It is difficult to get an overall and systematic assessment scheme covering three levels in so many study reports, which, mostly, probe into a certain aspect. Different in the hospitals on different levels, performance assessment approach is still under exploit. Hundreds of appraisal approaches have been established by scholars at home and abroad, but none of them is in practice around the world. As pointed out by a leader at Ministry of Health Financial Planning Department, it is difficult to build a rather reasonable performance assessment system and it is a must to work out a simple and reasonable approach practicable in the current system （25）. Therefore, some experts suggest an overall appraisal approach based on the method gathering as a prehensive appraisal system. Performance appraisal has much to do with management system: there may be overservice if payment is collected as per items in consideration of efficiency only。 the key index on performance of director of each faculty is effectively quantifiable during his/her office term so as to improve his/her performance。這樣的考核必然會流于形式，考核結果與員工的實際使用難以掛鉤，不利于調動員工的積極性。作為一種科學的管理體系，績效管理正在受到國內各級醫(yī)院管理者的重視，大多也是從醫(yī)院、科室及科室管理者、員工個人三個層面來進行探討。因此，人們逐漸開始采用多重指標來衡量績效，其中有些是“硬指標”，包括各種經濟和非經濟尺度；有些是“軟指標”，包括質量、員工態(tài)度及其類似的標準。After 30 years’ efforts, this hospital has e to be a cancer diagnosis and treatment center in this region and we hope that we can be worthy of the famous cancer center in South Jiangsu by further improving cancer diagnosis and treatment, perfecting prehensive medical treatment, satisfying patients’ increasing demand for diagnosis and treatment and sparing no efforts to save patients’ life and improve their living quality. 作為一家大型國有公立醫(yī)院，如何適應醫(yī)療體制未變，但運行機制卻發(fā)生改變的形勢，全面完成醫(yī)管中心下達的目標任務；如何面對社會對醫(yī)療服務過高需求與員工自身素質參差不齊的考驗；如何在市場經濟的大潮中，面對醫(yī)療市場開放后外資醫(yī)院的競相涌入，面對國內民營醫(yī)院的蓬勃發(fā)展，面對公立醫(yī)院之間的激烈競爭，保持旺盛的生命力等等。面對醫(yī)管中心下達的涉及醫(yī)院管理、醫(yī)院信息、醫(yī)療安全、醫(yī)療服務、經濟運作、醫(yī)德醫(yī)風六個方面內容，八大類17項數(shù)百條共1000分的考核標準，醫(yī)院該如何確立一個符合自身發(fā)展需求的總體目標，并能按計劃有步驟地加以實施，則顯得尤為重要。 建立健全醫(yī)院立體化績效考核評價體系On 3Dimensioned Performance Assessment and Appraisal System 前言：1. Preface在醫(yī)療改革呼聲日益高漲和醫(yī)療市場競爭不斷加劇的今天，醫(yī)院如何改變原有的運行管理模式，適應新形勢的變化，提高醫(yī)院的核心競爭力，是醫(yī)院管理者不可回避的重要問題。As health care policies have been promulgated by the State Council and other governmental bodies and the medical market has been gradually unveiled to outside after China entered WTO in the past 10 years, a great change has happened to Chinese medical industry, where are rising a lot of private hospitals, some even acquisitioned a few public hospitals。挑戰(zhàn)是全方位的，壓力也是前所未有的?，F(xiàn)有文獻表明對績效測量系統(tǒng)的研究熱點除系統(tǒng)開發(fā)及系統(tǒng)所提供信息的利用以外，還有關于績效測量系統(tǒng)對組織作用及影響的研究和績效管理模式的研究。根據(jù)中文科技期刊數(shù)據(jù)庫檢索，自1989年2008年2月，涉及