基于数据可获得性的助产质量评价指标体系的优化

Optimization of the midwifery quality evaluation index system in terms of data availability

目的:针对研究团队前期构建的助产质量评价指标体系进行试点应用和数据收集,并基于指标数据的可获得性进行优化。方法:对“某妇产科专科医院及妇幼保健院技术协作网”中的医疗机构进行问卷调查,了解助产质量评价指标体系数据的可获得性。基于调查结果,目的性选取5家机构收集助产质量评价指标体系数据;对5位数据收集负责人进行深度访谈,挖掘部分指标数据获得性低的深层原因;对相关指标的优化辅以专家咨询。结果:35家医疗机构的调查结果显示,部分指标数据的可获得性较低,主要原因为定义不明确、人工统计耗时长、无法通过人工获取。根据访谈和专家咨询结果,研究小组对8项指标中的9个内容进行优化。结论:优化后的助产质量评价指标体系在保持了指标合理性的同时提高了指标数据的可获得性,临床实用性得到了加强,为进一步的推广应用以及助产质量评价、比较打下基础。

Objective:To optimize the midwifery quality evaluation index system which has been developed by our team in terms of index data availability through questionnaire survey and pilot application.Methods:A questionnaire survey was conducted in the technical cooperation network of an obstetrics and gynecology hospital and maternal and child health hospital to understand the data availability of the midwifery quality evaluation index system.Based on the survey results,five institutions were selected to collect midwifery quality evaluation index system data,and five data collectors were interviewed to explore the profound reasons for the low availability of some index data,and the optimization of relevant indicators was supplemented by expert consultation.Results:The survey results of 35 medical institutions showed that the availability of some index data was low,mainly due to unclear definition,time-consuming manual statistical analysis and inability to obtain manually.According to the results of interviews and expert consultation,the research team optimized 9 contents of the 8 indicators.Conclusion:The optimized midwifery quality evaluation index system plays an important role in maintaining the rationality of the index while improving data availability and clinical practicability,which lays a foundation not only for further popularization and application but also for midwifery quality evaluation and comparison.