Objective To research the current performance assessment situation of basic public health services,then analyze the difficulties of performance assessment of basic public health services and give suggestion for performance management in Chongqing. Methods Spot questionnaires and in-depth interviews were done among 170 grassroots medical staff who were randomly sampled from 8 primary health organizations of 3 districts( counties) in 3 parts of Chongqing( west,northeast,south-east)to understand the performance assessment of basic medical and health institution,staff cognition for performance assessment and patient satisfaction. The data of public health service of three years from 2010 to 2012 with the help of Chongqing municipal health bureau were collected and performance indexes including establishment rates of resident health files and standardized elec-tronic healthcare record,child(0-6) system administration rate,health administration rates of pregnant women,the elderly above 65,patients with hypertension,diabetes and severely - stricken mental patients,hospital delivery rate of countryside pregnant women and satisfaction rate were evaluated. Results The assessment of basic health institutions in Chongqing included four parts:basic medical service,basic public health service( quantity,quality and satisfaction degree),comprehensive man-agement,satisfaction degree. County health bureau in coordination with finance bureau appraised grassroots health institution each quarter and grassroots health institution appraised staff every month,and the assessment results were linked to fiscal funds al-location and salary. Since the implementation of performance assessment,the rate of standardized electronic healthcare record, health administration rate of the elderly above 65,satisfaction degree health administration rates of hypertension and diabetes were increased year by year. The increasing speed of and severely - stricken mental patients was comparatively slow. In 2012, 82. 3%( 140/170 ) grassroots medical staff said that their wage was reduced after implementing performance assessment, 89. 4%(152/170) staff satisfaction for the current performance salary was not high,92. 9%(158/170) staff had low aware-ness of performance assessment. Most personnel reflected some questions about performance assessment such as too much limits, low total performance wages,complex performance assessment indexes and incomprehension for performance policy. Conclusion Chongqing is lack of a unified and quantitative performance assessment index system and the total performance wage is not suffi-cient. The point is to make dynamic quantifiable evaluation index system,reform performance wage system,increase information level and lift staff's quality.%目的：调研重庆市基本公共卫生服务实施绩效考核的现状，分析其存在的问题，为进一步完善绩效管理提出参考建议。方法于2012-2013年，采取整群随机抽样法在重庆市渝西、渝东北、渝东南3个片区中分别抽取1个区（县），即九龙坡、梁平县、武隆县共8家基层医疗卫生服务机构中的170名医务人员。通过实地问卷调查和深入访谈，了解重庆市基层医疗卫生机构绩效考核现状，调查医务人员的收入情况和对绩效考核的认知情况以及患者满意度；通过重庆市卫生局对调查地点2010-2012年的基本公共卫生服务数据进行收集，评估基本公共卫生服务绩效考核指标，包括居民健康档案建档率、规范化电子健康档案建档率、0~6岁儿童系统管理率、孕产妇健康管理率、65岁以上老人健康管理率、高血压患者健康管理率、糖尿病患者健康管理率、重性精神疾病患者健康管理率、农村孕产妇住院分娩率、满意度。结果重庆市基层医疗卫生机构考核内容一般包括基本医疗服务、基本公共卫生服务、综合管理和满意度四个板块，其中对基本公共卫生服务的考核内容包括服务数量、服务质量和满意度。区县卫生局协同财政局每一季度对基层医疗卫生机构进行考核，考核结果与财政经费拨付挂钩；基层医疗卫生机构每个月对员工进行考核，考核结果与工资发放挂钩。实施绩效考核以来，规范化电子健康档案建档率、65岁以上老年人健康管理率、满意度、高血压患者健康管理率和糖尿病患者健康管理率逐年上升。2012年，82.3%（140/170）的医务人员认为实行绩效考核后工资收入降低，89.4%（152/170）的医务人员对当前绩效工资的满意度不高。92.9%（158/170）的基层医务人员对绩效考核的认知度不高，机构人员对绩效概念不理解。多数医务人员反映绩效考核的限制太多、绩效工资总额太低、绩效考核指标复杂、对绩效政策不了解。结论重庆市现缺乏统一的可量化的绩效考核指标体系，绩效工资总额不足，尽快完善动态可量化的指标体系、改革绩效工资制度、提升信息化水平、提高人员素质是解决基本公共卫生服务绩效考核的关键。
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