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

doi:10.3877/cma.j.issn.1673-5250.2013.03.008

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.

Key words: maternal health service, child health service, performance evaluation

表2 因子负荷矩阵

Table 2 Factor loading matrix

项目	因子1	因子2	因子3	因子4	共同度
婴儿死亡率	0.53	0.53	0.49	0.05	0.80
活产儿数	－0.55	0.78	0.08	－0.02	0.92
1岁以下儿童数	－0.68	0.69	－0.06	0.05	0.94
孕产妇死亡率	0.59	0.69	－0.10	－0.04	0.84
新生儿窒息发生率	0.53	0.15	0.66	－0.25	0.80
孕产妇系统管理率	0.49	－0.05	－0.60	0.51	0.86
1岁以下儿童系统管理率	0.27	0.46	－0.23	0.68	0.80
早产发生率	0.07	－0.34	0.59	0.61	0.84
剖宫产率	－0.56	－0.10	0.42	0.58	0.84

表2 因子负荷矩阵

Table 2 Factor loading matrix

项目	因子1	因子2	因子3	因子4	共同度
婴儿死亡率	0.53	0.53	0.49	0.05	0.80
活产儿数	－0.55	0.78	0.08	－0.02	0.92
1岁以下儿童数	－0.68	0.69	－0.06	0.05	0.94
孕产妇死亡率	0.59	0.69	－0.10	－0.04	0.84
新生儿窒息发生率	0.53	0.15	0.66	－0.25	0.80
孕产妇系统管理率	0.49	－0.05	－0.60	0.51	0.86
1岁以下儿童系统管理率	0.27	0.46	－0.23	0.68	0.80
早产发生率	0.07	－0.34	0.59	0.61	0.84
剖宫产率	－0.56	－0.10	0.42	0.58	0.84

表3 旋转后的因子载荷(正交Parsimax旋转法)

Table 3 Factor analysis of model after factor rotation

项目	因子1	因子2	因子3	因子4	特殊方差
1岁以下儿童数	0.97	－0.13	0.01	0.00	0.04
活产儿数	0.95	0.09	－0.03	－0.02	0.09
婴儿死亡率	0.09	0.88	0.18	0.03	0.18
新生儿窒息发生率	－0.20	0.84	－0.23	0.02	0.20
孕产妇死亡率	0.17	0.61	0.48	－0.45	0.17
1岁以下儿童系统管理率	0.20	0.15	0.85	0.13	0.20
孕产妇系统管理率	－0.36	－0.17	0.83	－0.14	0.13
早产发生率	－0.28	0.19	0.07	0.85	0.16
剖宫产率	0.30	－0.18	－0.05	0.84	0.17

表3 旋转后的因子载荷(正交Parsimax旋转法)

Table 3 Factor analysis of model after factor rotation

项目	因子1	因子2	因子3	因子4	特殊方差
1岁以下儿童数	0.97	－0.13	0.01	0.00	0.04
活产儿数	0.95	0.09	－0.03	－0.02	0.09
婴儿死亡率	0.09	0.88	0.18	0.03	0.18
新生儿窒息发生率	－0.20	0.84	－0.23	0.02	0.20
孕产妇死亡率	0.17	0.61	0.48	－0.45	0.17
1岁以下儿童系统管理率	0.20	0.15	0.85	0.13	0.20
孕产妇系统管理率	－0.36	－0.17	0.83	－0.14	0.13
早产发生率	－0.28	0.19	0.07	0.85	0.16
剖宫产率	0.30	－0.18	－0.05	0.84	0.17

表1 因子分析相关矩阵特征值及方差贡献率

Table 1 Factor analysis of matrix eigenvalue and variance contribution rates

主成分排序	特征值	差值	比例	累积率
1	2.31	0.10	0.26	0.26
2	2.21	0.57	0.25	0.50
3	1.63	0.15	0.18	0.68
4	1.49	0.99	0.17	0.85
5	0.50	0.11	0.06	0.90
6	0.38	0.16	0.04	0.95
7	0.23	0.02	0.03	0.97
8	0.21	0.16	0.02	0.99
9	0.05	－	0.01	1.00

表1 因子分析相关矩阵特征值及方差贡献率

Table 1 Factor analysis of matrix eigenvalue and variance contribution rates

主成分排序	特征值	差值	比例	累积率
1	2.31	0.10	0.26	0.26
2	2.21	0.57	0.25	0.50
3	1.63	0.15	0.18	0.68
4	1.49	0.99	0.17	0.85
5	0.50	0.11	0.06	0.90
6	0.38	0.16	0.04	0.95
7	0.23	0.02	0.03	0.97
8	0.21	0.16	0.02	0.99
9	0.05	－	0.01	1.00

表4 广州市12个区(县级市)妇幼工作因子得分、综合得分及排序

Table 4 Results of factor scores, comprehensive scores and order of maternal and children health performance of twelve districts in Guangzhou

顺序	区(县级市)	综合得分	工作量因子	工作成效因子	工作过程因子	工作质量因子
1	PY	0.70	1.35	0.41	0.65	0.17
2	BY	0.61	1.68	0.35	－0.85	0.93
3	HZ	0.36	0.29	0.93	－0.25	0.29
4	HD	0.28	0.53	0.29	－0.09	0.28
5	YX	0.21	0.06	0.46	1.59	－1.44
6	LG	0.12	－1.25	0.31	0.73	1.31
7	CH	0.07	－0.28	－1.03	1.27	0.91
8	NS	－0.04	－1.54	1.83	－0.14	－0.37
9	TH	－0.14	0.58	0.02	－1.13	－0.41
10	ZC	－0.43	0.06	－1.89	0.67	－0.24
11	LW	－0.85	－0.24	－0.67	－0.82	－2.12
12	HP	－0.88	－1.25	－1.00	－1.64	0.70
因子权重(%)			30.24	28.90	21.30	19.50

表4 广州市12个区(县级市)妇幼工作因子得分、综合得分及排序

Table 4 Results of factor scores, comprehensive scores and order of maternal and children health performance of twelve districts in Guangzhou

顺序	区(县级市)	综合得分	工作量因子	工作成效因子	工作过程因子	工作质量因子
1	PY	0.70	1.35	0.41	0.65	0.17
2	BY	0.61	1.68	0.35	－0.85	0.93
3	HZ	0.36	0.29	0.93	－0.25	0.29
4	HD	0.28	0.53	0.29	－0.09	0.28
5	YX	0.21	0.06	0.46	1.59	－1.44
6	LG	0.12	－1.25	0.31	0.73	1.31
7	CH	0.07	－0.28	－1.03	1.27	0.91
8	NS	－0.04	－1.54	1.83	－0.14	－0.37
9	TH	－0.14	0.58	0.02	－1.13	－0.41
10	ZC	－0.43	0.06	－1.89	0.67	－0.24
11	LW	－0.85	－0.24	－0.67	－0.82	－2.12
12	HP	－0.88	－1.25	－1.00	－1.64	0.70
因子权重(%)			30.24	28.90	21.30	19.50

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