The impact of public hospital performance evaluation policies on the hospital internal perform-ance management:A comparative case study based on Beijing and Shanghai / 中国卫生政策研究

ABSTRACT

Objective: To study the influence of the public hospital performance evaluation policies on the hos-pital internal management and its corresponding pathway. Methods: Comparing the cases of Beijing and Shanghai, the differences and similarities between the hospital internal and external performance evaluation policy change were considered, and the corresponding changes in the reform of municipal hospitals’ internal performance management were analyzed to conclude the influence of external performance evaluation of hospitals on the hospital internal per-formance management. Therefore, considering a municipal hospital, through the analysis of its case on the implemen-tation of hospital external performance evaluation policies and the reform of internal performance management, the in-fluence pathway was summarized. Results: The phenomenon that hospital external performance evaluation policy and its changes led to the corresponding change in the reform of the hospital internal performance management of munici-pal hospitals in the corresponding content to a certain extent. It is proposed that, as the core point, government-affili-ated departments, public hospitals, and management and clinical departments should be the three-tiered. Conclu-sions The hospital external performance evaluation policy will lead to the corresponding change in the hospital inter-nal performance management. Therefore, the supporting measures that were formulated based on the influence path-way analysis will help to promote the realization of the policy objectives.