县级妇幼保健机构绩效评价指标体系研究

发布时间：2018-05-20 05:43

本文选题：县级妇幼保健机构 + 绩效评价　；参考：《中国疾病预防控制中心》2012年硕士论文

【摘要】：研究目的通过研究制定一套科学、可行、适合我国县级妇幼保健机构绩效评价的指标体系,评价指标体系体现妇幼保健机构的功能定位和发展目标,兼顾对妇幼保健机构的个体保健、医疗和公共卫生服务的绩效评价。研究内容与方法：本研究分为二部分。第一部分县级妇幼保健机构绩效评价指标体系的建立 (1)选择适宜的评价理论,建立评价框架首先查阅大量我国妇幼保健发展相关的方针、政策等规范性文件,以及有关妇幼保健机构发展和评价的相关文献,同时复习有关绩效评价的最新理论和方法,在此基础上建立绩效考核评价框架, (2)收集相关评价指标通过文献回顾,初步选择了6个一级指标,17个二级指标和120个三级指标。经过1次现场座谈,2轮专家讨论和论证,形成了县级妇幼保健机构绩效评价的一套备选指标体系,该体系含有6个一级指标,15个二级指标和84个三级指标。 (3)指标筛选根据备选指标体系设计Delphi专家咨询调查表对评价框架的合理性和备选指标的重要性、可行性进行主观评分,经过两轮专家咨询,结合专家权威程度系数对两轮专家评分结果进行统计分析,采用界值法进行指标的筛选。每一次专家咨询后都召开专家论证会,在定量分析的基础上,综合回收问卷中专家所提出的意见和专家论证会上专家意见,增加、删除或更改指标的归类和名称。通过两轮德尔菲专家咨询和两次专家论证最终形成了含有4个一级指标,10个二级指标和42个三级指标的县级妇幼保健机构绩效评价指标体系。 (4)确定指标权重：对最终形成的指标体系进行第三次Delphi专家咨询,采用百分制的专家评分原则,请专家分别对每一级指标中各个指标所占的比重进行评分,根据评分结果结合专家权威程度系数分别确定每一级中每个指标的权重。 (5)确定指标标准：针对前期研究产出《县级妇幼保健机构绩效评价指标体系》,通过查阅国家相关规定、标准和全国妇幼保健机构监测现状,经过专家研讨初步确定每个指标的取值范围作为考核标准,通过第三轮德尔菲专家咨询中对每一个指标的取值范围进行了咨询,并通过现场调研和专家论证最后确定每一个指标的考核标准。第二部分评价指标体系的现场验证利用以上研究产出的县级妇幼保健机构绩效评价指标体系设计调查问卷,对河北省鹿泉市、平山县和赞皇县三个县级妇幼保健机构进行调查,对相关人员进行个人访谈,征求其对评价结果的意见,对评价体系的全面性、代表性和可行性进行论证。研究结果经过研究,制定了《县级妇幼保健机构绩效评价指标体系》。指标体系由一、二、三级指标组成。4个一级指标,包括“群体保健管理”、“保健服务”、“临床服务”和“综合与支持”；一级指标下设10个二级指标,包括“保健服务管理”、“信息管理”、“健康教育”、“服务种类”、“服务质量”、“服务质量”、“服务效率”、“投入”、“效益”、“评价”；二级指标分解成42个三级指标。研究结论本研究基于平衡计分卡理论概念框架,结合县级妇幼保健机构的职能定位和发展目标,通过科学的研究方法建立了县级妇幼保健机构绩效评价指标体系。所建立的指标体系层次分明,指标的数量适中、涵盖全面,各级指标权重适宜,能够合理评价县级妇幼保健机构的绩效水平。在实施过程中还需对考核标准进一步细化,提高其可操作性,同时,评价指标要随着妇幼保健机构的发展而不断调整。
[Abstract]:research objective
Through the study, a set of scientific, feasible and suitable index system for the performance evaluation of China's County Maternal and child health care institutions is made. The evaluation index system embodies the functional orientation and development goals of the maternal and child health care institutions, and gives consideration to the individual health care of the maternal and child health care institutions, and the performance evaluation of medical and public health services.
The research content and method: This study is divided into two parts.
The first part is the establishment of performance evaluation index system of maternal and child health care institutions at county level.
(1) select the appropriate evaluation theory and establish the evaluation framework
First, we refer to a large number of relevant guidelines, policies, and other relevant documents on the development and evaluation of maternal and child health care institutions, and review the latest theories and methods of performance evaluation. On this basis, a framework for performance assessment and evaluation is established.
(2) collect relevant evaluation indexes
Through the literature review, 6 first grade index, 17 grade two index and 120 three grade index are selected. After 1 on-site discussions and 2 rounds of expert discussion and demonstration, a set of alternative index system for performance evaluation of county-level maternal and child health care institutions is formed. The system contains 6 first grade indicators, 15 two level index and 84 three index.
(3) index screening
According to the alternative index system, the Delphi expert consultation questionnaire is designed for the importance of the rationality of the evaluation framework and the importance of the alternative index. The feasibility is evaluated by the subjective score. After two rounds of expert consultation, the results of the two rounds of experts are statistically analyzed with the experts' authority degree coefficient, and the boundary value method is used to select the index. On the basis of quantitative analysis, on the basis of quantitative analysis, the experts' opinions and experts' opinions in the comprehensive recovery questionnaire and expert opinions are added, and the classification and name of the index are added, deleted or changed. Through two rounds of Delphy expert consultation and two expert demonstration, there are 4 first grade indexes, 10 two grade indexes and 42 Three level indicators of maternal and child health care institutions performance evaluation index system.
(4) to determine the weight of the index: third Delphi expert consultation on the final index system and the score principle of percentage of experts, experts are asked to score the proportion of each index in each index, and the weight of each index in each level is determined according to the result of the score and the coefficient of expert authority.
(5) to determine the index standard: according to the previous research output "performance evaluation index system of County Maternal and child health care institution", through consulting the relevant state regulations, standards and national maternal and child health care institutions monitoring status, through expert discussion, the scope of each index is preliminarily determined as the assessment standard, and through the third round of Delphi expert consultation on each A range of indicators was consulted, and the assessment criteria of each index were finally determined through field research and expert demonstration.
The field verification of the second part evaluation index system
Using the questionnaire of the performance evaluation index system of the County Maternal and child health care institutions above, three county-level maternal and child health care institutions in Luquan, Pingshan County and Zanhuang County of Hebei province were investigated. Personal interviews were carried out to relevant personnel to seek their opinions on the evaluation results, and the overall, representative and feasibility of the evaluation system. Make a demonstration.
Research results
After research, the index system of the performance evaluation of the County Maternal and child health care institution is formulated. The index system consists of one, two and three level indicators, which consists of.4 first grade indicators, including "group health care management", "health care service", "clinical service" and "comprehensive and support", and 10 level two indicators under the first level index, including "health service management", " Information management, health education, service type, service quality, service quality, service efficiency, input, benefit, evaluation, and two level indicators are broken down into 42 three levels.
research conclusion
Based on the theoretical concept framework of the Balanced Scorecard and the function orientation and development goal of the county-level maternal and child health care institutions, the performance evaluation index system of the County Maternal and child health care institutions is established through scientific research methods. The index system is clear, the number of indicators is moderate, and the weight of the indicators at all levels is suitable and the index weight is suitable. Reasonable evaluation of the performance level of maternal and child health care institutions at county level.
In the process of implementation, it is necessary to further refine the assessment criteria and improve its operability. At the same time, the evaluation indicators should be adjusted continuously along with the development of MCH institutions.
【学位授予单位】：中国疾病预防控制中心
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R197.6

【参考文献】