妇幼保健机构综合绩效评价指标体系构建

Study on establishing an indicator system for performance assessment of women and children health care institutions

目的探索构建妇幼保健机构综合绩效评价指标体系，为妇幼保健机构绩效管理提供思路和依据。方法采用文献回顾、专家论证法、Delphi专家咨询法、离散趋势法、相关分析法、主成分分析与因子分析法和聚类分析法等建立指标体系，采用专家评分法和CRITIC法主客观权衡计算指标权重系数，并对指标体系的一致性信度及内部结构效度进行检验。结果根据绩效评价指标体系框架，设定医疗保健工作质量、医疗保健工作效率、公共卫生服务质量和效率、社会效益、经济效益、发展潜力6大类一级指标。结论通过科学研究，可以建立一套科学合理的适用于我国不同级别妇幼保健机构的综合绩效评价指标体系。

Objective To establish an indicator system for performance assessment of women and children health care institutions, and provide basis for performance management of such institutions. Methods In this study, literature searching, expert discussion, Delphi method, coefficient of variation method, correlation analysis, principal components analysis, factor analysis and cluster analysis were used to establish the indicator system. In addition, expert scoring and CRITIC methods were called into play to calculate the weight coefficient of each index, and to test the validity and reliability of such an indicator system. Results Thanks to the framework of this indicator system, we set up six class 1 indicators, including healthcare quality, healthcare efficiency, quality and efficiency of public health service, social efficiency, economic benefit, and development potential. Conclusions Scientific studies can help us build a scientific and practical general performance assessment indicator system applicable to women and children care hospitals at all levels.