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At present, the main dilemma faced by performance management of primary health care institutions is that the total performance salary is not high, the incentives caused by the imbalance of performance wage structure, the lack of perfect performance appraisal distribution system, and the performance management level of the dean of grassroots health institutions need to be improved. Performance management training courses for the characteristics of primary health care institutions are yet to be developed. It is recommended to actively implement the “two permits”, increase the autonomy of distribution, increase the total amount of performance pay, and increase the proportion of incentive performance pay, so as to promote the professionalization of dean of primary medical institutions and attach importance to performance management knowledge training. Based on the positioning and characteristics of primary health care institutions, from the three stages of performance management curriculum, curriculum teaching and curriculum assessment, a set of performance management courses that meet the characteristics of primary health care institutions are designed.

Difficulties and Countermeasures in Performance Management of Primary Health Care Institutions in China