Construction and Application Evaluation of a New Multidimensional Performance Management Model for Chinese Public Hospitals

Background As China's healthcare reform continues to advance, conventional single-method performance evaluation systems have proven inadequate in meeting the complex management demands of modern hospitals. There is now a pressing need to explore integrated applications of multiple performance management models to leverage their complementary advantages for enhancing both service quality and operational efficiency in healthcare institutions. Methods This study proposes an innovative integrated RBRVS-DRG performance management model, with particular emphasis on elucidating its design framework, implementation pathways, and critical control points. A comprehensive evaluation index system was developed across four key dimensions - clinical quality, operational efficiency, sustainable development, and satisfaction metrics (encompassing both patients and staff) - to assess the implementation outcomes of the new model. Results Empirical findings from the pilot implementation at a public hospital demonstrate that the new model has yielded statistically significant improvements across multiple key metrics: hospital operational efficiency (23.3% increase), clinical quality indicators (22.0% enhancement), patient and staff satisfaction (20.0% and 12.3% growth respectively), while simultaneously achieving effective control over per-case cost escalation (8.9% reduction). Conclusion The integrated RBRVS-DRG model demonstrates substantial advantages in optimizing resource allocation, enhancing service efficiency, and controlling healthcare expenditures, thereby providing both a novel theoretical framework and actionable implementation strategies for performance management reform in public hospitals.