Abstract
External evaluation of large medical institutions is key to performance management in the medical sector, which is both a major means for the government to manage such institutions and a key guideline for their internal performance management. Based on a study on the pathways of such institutions in the UK, the USA and Japan in their external evaluation of performance, the paper summarized practices of Shanghai, Shenzhen, Zhenjiang and Beijing, in an attempt to offer references for building the external evaluation system for such institutions in China. Key words: Medical institution; Performance management; External evaluation
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