县级妇幼保健机构发展能力评价指标体系研究

发布时间：2018-01-15 11:12

本文关键词：县级妇幼保健机构发展能力评价指标体系研究　出处：《中国疾病预防控制中心》2017年硕士论文　论文类型：学位论文

【摘要】：目的建立一套科学、全面、可行的县级妇幼保健机构发展能力评价指标体系,用于我国县级妇幼保健机构发展能力综合评价。方法本研究首先通过文献研究、专家论证,确定发展能力评价框架,并结合全国妇幼保健机构资源与运营情况监测(简称机构监测)指标设置备选指标。利用2012年度机构监测数据,采用相关系数法、因子分析法、聚类分析法及专家研讨会法,以主客观结合的方法进行指标筛选。采用德尔菲专家评分法确定指标权重。利用2012年度机构监测指标数据,采用TOPSIS法、RSR法及组合评价对湖南省100所县级妇幼保健机构发展能力进行综合评价,并随机抽取其中20所机构,由湖南省省级妇幼卫生行政部门领导和省级妇幼保健院管理专家对其发展能力进行主观评价,比较两种评价结果的一致性,以及与现实情况的符合程度,对评价指标体系进行验证。结果1.形成县级妇幼保健机构发展能力评价指标体系。评价指标体系包含3个一级指标、8个二级指标33个三级指标。一级指标包括资源配置、服务能力和发展潜力;其中资源配置分为人力、物资、信息3个二级指标;服务能力分为辖区管理服务和院内服务2个二级指标;发展潜力分为机构管理、经济运营、科研与学习3个二级指标。2.确定了各级指标的权重值。3个一级指标的权重分别为0.33、0.40、0.27;8个二级指标权重分别为 0.42、0.31、0.27、0.48、0.52、0.39、0.32、0.28。3.指标体系验证结果。TOPSIS法与RSR法组合评价与主观评价结果的一致性检验kappa系数为0.211,同时评价结果与实际情况也比较相符。结论本研究基于机构监测系统,采用了文献研究、专家咨询和专家研讨会、数理统计分析等主客观结合的方法,经过确立评价框架和备选指标、指标筛选、指标赋权、评价指标体系验证等研究步骤,构建了县级妇幼保健机构发展能力评价指标体系。
[Abstract]:Objective to establish a scientific, comprehensive and feasible index system for evaluating the development ability of MCH institutions at county level in China. Experts demonstrated that an evaluation framework for capacity development was established and alternative indicators were established in conjunction with indicators for monitoring the resources and operations of national maternal and child health institutions (agency monitoring), using institutional monitoring data for 2012. Correlation coefficient method, factor analysis method, cluster analysis method and expert seminar method were used. The index is screened by combining subjective and objective methods. Delphi expert scoring method is used to determine the index weight. The TOPSIS method is used to determine the index data of institutional monitoring in 2012. The development ability of 100 county maternal and child health care institutions in Hunan Province was evaluated by RSR method and combined evaluation, and 20 of them were randomly selected. The development ability of the provincial MCH administrative department of Hunan Province and the management experts of provincial MCH hospital were evaluated subjectively to compare the consistency of the two evaluation results and the degree of consistency with the actual situation. The evaluation index system was validated. Results 1. The evaluation index system of the development ability of MCH institutions at county level was formed. The evaluation index system included three first-level indicators. 2. The first level includes resource allocation, service capacity and development potential; The allocation of resources is divided into three levels: manpower, material and information. The service ability is divided into two levels: management service and hospital service. The development potential is divided into three secondary indexes, I. e., institutional management, economic operation, scientific research and learning. The weights of the eight secondary indexes were 0.42 ~ 0.31 ~ 0.27 ~ 0.28 ~ 0.52 ~ 0.39 ~ 0.32 respectively. 0.28.3.The kappa coefficient of the combination evaluation and subjective evaluation of TOPSIS method and RSR method is 0.211. At the same time, the evaluation results are also consistent with the actual situation. Conclusion this study is based on the institutional monitoring system, using literature research, expert consultation and expert seminars, mathematical statistical analysis and other subjective and objective methods. The evaluation index system for the development ability of MCH institutions at county level was constructed by establishing the evaluation framework and alternative indicators, selecting indicators, empowering indicators, and verifying the evaluation index system.
【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】：2017
【分类号】：R172

【参考文献】