广州市12个区(县级市)妇幼保健服务综合绩效评价体系的构建

A Comprehensive Indicator System for Performance Assessment of Women and Children Health Care at CountyLevel of Guangzhou City

目的探索构建广州市12个区(县级市)妇幼保健服务综合绩效评价指标体系,旨在为广州12个区(县级市)妇幼保健工作绩效管理提供思路和依据。方法选取《2011年广州市妇幼保健年报表》,主要包括《广州市产科质量情况年报表》、《广州市孕产妇保健和健康情况年报表》、《广州市7岁以下儿童保健和健康情况年报表》为研究对象。采用因子分析法对筛选指标进行综合分析,对各区(县级市)妇幼保健服务完成情况进行综合评价。结果根据绩效评价指标体系框架,从工作量、工作质量、工作过程、工作成效4个维度对广州市12个区(县级市)妇幼保健服务绩效进行评价的综合得分结果显示,排位前3位的为PY,BY和HZ区,排位靠后的为ZC,LW和HP区。结论本研究构建的模型客观地反映了广州市12个区(县级市)妇幼保健服务的4个维度,既体现了工作量所带来的工作难度,也显现了过程的重要性,同时统一了产出和结果,充分体现了妇幼卫生工作的主要维度。建议今后根据每年工作重心,对妇幼绩效考核指标的选取进行适当调整。

Objective To establish an indicator system for performance assessment of woman and child health care at county-level in Guangzhou.Methods We analyzed annual report（2011）of maternal and child health care in Gauangzhou city,including annual report（2011）of obstetric quality in Guangzhou city,annual report（2011）of maternal health care in Guangzhou city,annual report（2011）of child health care of children under 7-year-old.The indicators were summarized by factor analysis and new indexes were created.A comprehensive model was set up with the new indexes,which can be used as a tool for annual performance of woman and child health care at county-level in Guangzhou.Results Data from twelve county-level woman and child health care centers in Guangzhou were put into the comprehensive model.The performance was evaluated by indicators of workload,work quality,working process,and work effect.From the perspective of comprehensive scores,the top three districts were PY,BY and HZ,and the last three districts were ZC,LW and HP.Conclusions The model of four dimensions was a scientific and practical general performance assessment indicator system which can be applicable to woman and child health services at county-level in Guangzhou city.It also suggests that a modification should be considered based on the annual work plan.