新疆克拉玛依市2013年县级妇幼卫生绩效考核评估分析

Analysis of the county level maternal and child health work performance evaluation in Karamay city of Xinjiang in 2013

目的通过2013年克拉玛依市县级妇幼卫生绩效考核,分析全市4个区妇幼卫生工作政府保障、妇幼保健网络建设、妇幼保健管理及妇幼保健服务提供情况,为今后妇幼卫生事业发展及政府决策提供科学依据。方法依据克拉玛依市县级妇幼卫生工作绩效考核标准,从政府保障、妇幼保健网络建设、妇幼保健管理、妇幼保健服务提供、妇幼健康状况5个方面,对全市4个区的妇幼卫生工作绩效进行考核。调查涉及35家单位,采取现场查看、查阅资料、人员技术考核等方法对照考核标准进行量化打分,并对调查结果进行汇总分析。结果考核项目总分值1100分,2013年克拉玛依区872.7分、独山子区871.7分、白碱滩区828.2分、乌尔禾区724.1分。结论克拉玛依市妇幼卫生事业发展与当地社会、经济发展不相适应,各级政府投入相对不足,妇幼保健服务网络不健全,工作人员配备不足,学历偏低、年龄偏大,整体服务能力有限,供需矛盾突出,妇幼保健服务需要进一步规范。

Objective To provide basis for maternal and child health development and government decision, we analyzed the government security, the MCH network construction, the management of MCH work, and the service of MCH of four districts though the examination of county level MCH work performance in Karamay city in 2013. Methods According to the standards of Karamay MCH work performance, we carried out the performance appraisal in four districts in Karamay city to evaluate from five aspects. Thirty- five MCH hospitals involved in the investigation use the on-site inspection, resourcing and personnel of technology assessment methods to quantitative scoring. And we analyzed the results of the investigation. Results There were totally 1100 points of the evaluation. Karamay district scored 827.7 points, Dushanzi district scored 871.7 points, Baijiantan district scored 828.2 points, and Wuerhe district scored 724.1 points. Conclusions The maternal and child health development in Karamay was not adapt with the local social and economic development. Concrete embodiment in insufficient investment from government, unsound maternal and child health service network, insufficient equipped staff, whose degree was low and the professional ability were limited. Result in the contradiction between the supply and demand of maternal and child health, therefore MCH work need to be further standardized.