本文選題：縣級婦幼保健機構(gòu) + 績效評價��； 參考：《中國疾病預防控制中心》2012年碩士論文

【摘要】：研究目的 通過研究制定一套科學、可行、適合我國縣級婦幼保健機構(gòu)績效評價的指標體系,評價指標體系體現(xiàn)婦幼保健機構(gòu)的功能定位和發(fā)展目標,兼顧對婦幼保健機構(gòu)的個體保健、醫(yī)療和公共衛(wèi)生服務的績效評價。 研究內(nèi)容與方法：本研究分為二部分。 第一部分縣級婦幼保健機構(gòu)績效評價指標體系的建立 (1)選擇適宜的評價理論,建立評價框架 首先查閱大量我國婦幼保健發(fā)展相關的方針、政策等規(guī)范性文件,以及有關婦幼保健機構(gòu)發(fā)展和評價的相關文獻,同時復習有關績效評價的最新理論和方法,在此基礎上建立績效考核評價框架, (2)收集相關評價指標 通過文獻回顧,初步選擇了6個一級指標,17個二級指標和120個三級指標。經(jīng)過1次現(xiàn)場座談,2輪專家討論和論證,形成了縣級婦幼保健機構(gòu)績效評價的一套備選指標體系,該體系含有6個一級指標,15個二級指標和84個三級指標。 (3)指標篩選 根據(jù)備選指標體系設計Delphi專家咨詢調(diào)查表對評價框架的合理性和備選指標的重要性、可行性進行主觀評分,經(jīng)過兩輪專家咨詢,結(jié)合專家權(quán)威程度系數(shù)對兩輪專家評分結(jié)果進行統(tǒng)計分析,采用界值法進行指標的篩選。每一次專家咨詢后都召開專家論證會,在定量分析的基礎上,綜合回收問卷中專家所提出的意見和專家論證會上專家意見,增加、刪除或更改指標的歸類和名稱。通過兩輪德爾菲專家咨詢和兩次專家論證最終形成了含有4個一級指標,10個二級指標和42個三級指標的縣級婦幼保健機構(gòu)績效評價指標體系。 (4)確定指標權(quán)重：對最終形成的指標體系進行第三次Delphi專家咨詢,采用百分制的專家評分原則,請專家分別對每一級指標中各個指標所占的比重進行評分,根據(jù)評分結(jié)果結(jié)合專家權(quán)威程度系數(shù)分別確定每一級中每個指標的權(quán)重。 (5)確定指標標準：針對前期研究產(chǎn)出《縣級婦幼保健機構(gòu)績效評價指標體系》,通過查閱國家相關規(guī)定、標準和全國婦幼保健機構(gòu)監(jiān)測現(xiàn)狀,經(jīng)過專家研討初步確定每個指標的取值范圍作為考核標準,通過第三輪德爾菲專家咨詢中對每一個指標的取值范圍進行了咨詢,并通過現(xiàn)場調(diào)研和專家論證最后確定每一個指標的考核標準。 第二部分評價指標體系的現(xiàn)場驗證 利用以上研究產(chǎn)出的縣級婦幼保健機構(gòu)績效評價指標體系設計調(diào)查問卷,對河北省鹿泉市、平山縣和贊皇縣三個縣級婦幼保健機構(gòu)進行調(diào)查,對相關人員進行個人訪談,征求其對評價結(jié)果的意見,對評價體系的全面性、代表性和可行性進行論證。 研究結(jié)果 經(jīng)過研究,制定了《縣級婦幼保健機構(gòu)績效評價指標體系》。指標體系由一、二、三級指標組成。4個一級指標,包括“群體保健管理”、“保健服務”、“臨床服務”和“綜合與支持”；一級指標下設10個二級指標,包括“保健服務管理”、“信息管理”、“健康教育”、“服務種類”、“服務質(zhì)量”、“服務質(zhì)量”、“服務效率”、“投入”、“效益”、“評價”；二級指標分解成42個三級指標。 研究結(jié)論 本研究基于平衡計分卡理論概念框架,結(jié)合縣級婦幼保健機構(gòu)的職能定位和發(fā)展目標,通過科學的研究方法建立了縣級婦幼保健機構(gòu)績效評價指標體系。所建立的指標體系層次分明,指標的數(shù)量適中、涵蓋全面,各級指標權(quán)重適宜,能夠合理評價縣級婦幼保健機構(gòu)的績效水平。 在實施過程中還需對考核標準進一步細化,提高其可操作性,同時,評價指標要隨著婦幼保健機構(gòu)的發(fā)展而不斷調(diào)整。
[Abstract]:research objective
Through the study, a set of scientific, feasible and suitable index system for the performance evaluation of China's County Maternal and child health care institutions is made. The evaluation index system embodies the functional orientation and development goals of the maternal and child health care institutions, and gives consideration to the individual health care of the maternal and child health care institutions, and the performance evaluation of medical and public health services.
The research content and method: This study is divided into two parts.
The first part is the establishment of performance evaluation index system of maternal and child health care institutions at county level.
(1) select the appropriate evaluation theory and establish the evaluation framework
First, we refer to a large number of relevant guidelines, policies, and other relevant documents on the development and evaluation of maternal and child health care institutions, and review the latest theories and methods of performance evaluation. On this basis, a framework for performance assessment and evaluation is established.
(2) collect relevant evaluation indexes
Through the literature review, 6 first grade index, 17 grade two index and 120 three grade index are selected. After 1 on-site discussions and 2 rounds of expert discussion and demonstration, a set of alternative index system for performance evaluation of county-level maternal and child health care institutions is formed. The system contains 6 first grade indicators, 15 two level index and 84 three index.
(3) index screening
According to the alternative index system, the Delphi expert consultation questionnaire is designed for the importance of the rationality of the evaluation framework and the importance of the alternative index. The feasibility is evaluated by the subjective score. After two rounds of expert consultation, the results of the two rounds of experts are statistically analyzed with the experts' authority degree coefficient, and the boundary value method is used to select the index. On the basis of quantitative analysis, on the basis of quantitative analysis, the experts' opinions and experts' opinions in the comprehensive recovery questionnaire and expert opinions are added, and the classification and name of the index are added, deleted or changed. Through two rounds of Delphy expert consultation and two expert demonstration, there are 4 first grade indexes, 10 two grade indexes and 42 Three level indicators of maternal and child health care institutions performance evaluation index system.
(4) to determine the weight of the index: third Delphi expert consultation on the final index system and the score principle of percentage of experts, experts are asked to score the proportion of each index in each index, and the weight of each index in each level is determined according to the result of the score and the coefficient of expert authority.
(5) to determine the index standard: according to the previous research output "performance evaluation index system of County Maternal and child health care institution", through consulting the relevant state regulations, standards and national maternal and child health care institutions monitoring status, through expert discussion, the scope of each index is preliminarily determined as the assessment standard, and through the third round of Delphi expert consultation on each A range of indicators was consulted, and the assessment criteria of each index were finally determined through field research and expert demonstration.
The field verification of the second part evaluation index system
Using the questionnaire of the performance evaluation index system of the County Maternal and child health care institutions above, three county-level maternal and child health care institutions in Luquan, Pingshan County and Zanhuang County of Hebei province were investigated. Personal interviews were carried out to relevant personnel to seek their opinions on the evaluation results, and the overall, representative and feasibility of the evaluation system. Make a demonstration.
Research results
After research, the index system of the performance evaluation of the County Maternal and child health care institution is formulated. The index system consists of one, two and three level indicators, which consists of.4 first grade indicators, including "group health care management", "health care service", "clinical service" and "comprehensive and support", and 10 level two indicators under the first level index, including "health service management", " Information management, health education, service type, service quality, service quality, service efficiency, input, benefit, evaluation, and two level indicators are broken down into 42 three levels.
research conclusion
Based on the theoretical concept framework of the Balanced Scorecard and the function orientation and development goal of the county-level maternal and child health care institutions, the performance evaluation index system of the County Maternal and child health care institutions is established through scientific research methods. The index system is clear, the number of indicators is moderate, and the weight of the indicators at all levels is suitable and the index weight is suitable. Reasonable evaluation of the performance level of maternal and child health care institutions at county level.
In the process of implementation, it is necessary to further refine the assessment criteria and improve its operability. At the same time, the evaluation indicators should be adjusted continuously along with the development of MCH institutions.
【學位授予單位】：中國疾病預防控制中心
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R197.6

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