基于胜任力的家庭医生团队中全科医生薪酬激励机制研究

The development of a competence-based incentive payment mechanism for general practitioners(GPs) is beneficial to the increase of GPs' initiative in delivering contracted family doctor services.We firstly calculated the competency-based marginal cost for GPs by use of combination weighting algorithm, then developed a proactive incentive payment mechanism by competence level using the principal-agent theory, namely, according to their own competence, GPs actively choose the level of performance and performance-related pay listed in the incentive payment mechanism for GPs designed by the government department, by which a win-win situation can be achieved for the government department and GPs.By use of this mechanism, equal pay for equal work regardless of the levels of performance may be changed, and the pay may be closely associated with performance of GPs, realizing incentive cooperation between the government department and GPs.