摘要目的：探索上海市级医院院长绩效考核方法。方法围绕社会满意、管理有效、资产运营、发展持续、职工满意5方面23项指标，每年考核24家三级医院院长的管理业绩。结果实施绩效考核后，市级医院患者满意度和医疗护理质量不断得到提升，医疗费用和成本得到合理控制。2014年，市级医院门急诊和住院均次费用分别为312元和1.56万元，平均住院日为7.6天。医疗服务效率得到提高，临床科研实力得以增强，医院整体绩效得到改善。结论公立医院院长绩效考核是引导医院坚持公益性、紧贴政府办医方向、促进公立医院加强内部绩效管理的重要手段。

abstractsObjective To explore methods for performance appraisal of directors of municipal hospitals in Shanghai.Methods To assess the management performance of directors of 24 tertiary hospitals each year,measured by five dimensions of social satisfaction,management efficiency,capital operation,development sustainability and staff satisfaction,and 23 indexes.Results Implementation of the performance appraisal has witnessed constant improvement of patient satisfaction and quality of medical care,as well as rational control of medical expenses and cost.In 2014 for example,the cost of emergency/outpatients per visit at such hospitals were 312 yuan and 1 5 600 yuan per hospitalization respectively,with 7.6 days of stay in average.Also improved were service efficiency,clinical research output and hospital business performance in general.Conclusion Performance appraisal of directors of public hospitals proves an important means for guiding the hospitals to adhere to public welfare, consistent with the government medical institution operation target, and to strengthen internal management of such hospitals.