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[1]施佳婷唐菲周慧敏吕怀川顾光华袁敏.基于价值医疗的妇幼保健科室绩效评价研究[J].中国卫生质量管理,2026,33(7):60-64.[doi:10.13912/j.cnki.chqm.2026.33.7.12]
　SHI Jiating,TANG Fei,ZHOU Huimin.Research on Performance Evaluation of Maternal and Child Health Departments Based on Value-Based Healthcare[J].Chinese Health Quality Management,2026,33(7):60-64.[doi:10.13912/j.cnki.chqm.2026.33.7.12]

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基于价值医疗的妇幼保健科室绩效评价研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年7期页码: 60-64 栏目: 绩效管理与医院高质量发展出版日期: 2026-07-15

Title:: Research on Performance Evaluation of Maternal and Child Health Departments Based on Value-Based Healthcare

作者:: 施佳婷唐菲周慧敏吕怀川顾光华袁敏; 溧阳市人民医院

Author(s):: SHI Jiating; TANG Fei; ZHOU Huimin; Liyang People’s Hospital

关键词:: 价值医疗; 妇幼保健科室; 绩效评价; TOPSIS法; 价值医疗贡献度

Keywords:: Value-Based Healthcare; Maternal and Child Health Departmental; Performance Evaluation; TOPSIS Method; Value-Based Healthcare Contribution

分类号:: R197.32

DOI:: 10.13912/j.cnki.chqm.2026.33.7.12

文献标志码:: A

摘要:: 目的基于价值医疗理念，构建妇幼保健科室绩效评价指标体系，探索价值医疗与科室绩效评价融合路径。方法通过德尔菲法、层次分析法确定医疗质量、运营效率、患者健康结局、成本效益、患者价值增值等5个维度15个指标的妇幼保健科室绩效评价体系及权重，增设4个价值导向型个性指标；采用熵权-TOPSIS法结合DEA综合评价，通过波士顿矩阵定位，引入价值医疗贡献度模型量化价值输出，对江苏省溧阳市人民医院及周边3所同级医院妇幼保健科室2023—2024年运营绩效进行综合评价。结果2024年4所医院科室整体绩效相对接近度均值为0.79，较2023年提升5.20%；溧阳市人民医院产科相对接近度最高，儿科在患者价值增值指标上增幅显著；DEA分析显示各科室效率优化；波士顿矩阵显示4所医院“明星科室”均为产科，其价值医疗贡献度均超过38%。结论多维度评价体系可全面反映妇幼保健科室绩效，价值导向型指标的引入提供了普适性实践路径，结合政策可释放价值医疗效能。

Abstract:: ObjectiveBased on the concept of value-based healthcare, this study constructed a performance evaluation index system for maternal and child health departments and explored the integration pathway of value-based healthcare with departmental performance evaluation. MethodsThe Delphi method and analytic hierarchy process method were used to determine the weights of 15 indicators across 5 dimensions including medical quality, operational efficiency,patient health outcomes,cost-effectiveness,patient value enhancement,with the addition of value-oriented individualized indicators. The entropy weight-TOPSIS method combined with DEA comprehensive evaluation, Boston matrix positioning, and a value-based healthcare contribution model to quantify value output were applied to conduct a multi-center performance evaluation of the maternal and child health departments of Liyang People’s Hospital in Jiangsu Province and 3 comparable surrounding hospitals from 2023 to 2024.ResultsIn 2024, the mean closeness coefficient of overall departmental performance across the 4 hospitals was 0.79, representing a 5.20% increase from 2023. Liyang People’s Hospital had the highest Ci value for its obstetrics department, while its pediatrics department showed a significant increase in value-oriented indicators. DEA analysis revealed efficiency optimization across all departments. The Boston matrix indicated that the "star department" in all 4 hospitals was obstetrics,with the value medical contribution rate surpassing 38%.Conclusion The multi-dimensional evaluation system can comprehensively reflect the performance of maternal and child health departments. The introduction of multi-center evaluation and value-oriented indicators provides a universally applicable practical pathway, which, when combined with policy support, can unlock the efficacy of value-based healthcare.

参考文献/References:

［1］朱海嘉,方子.医改背景下公立医院医疗科室经济运行分析［J］.中国医院,2021,25(3):64-66.［2］江其玟,焦梦悦,范若云,等.价值共创视角下公立医院绩效考核体系优化路径与实践［J］.中国卫生经济,2024,43(2):69-74.［3］刘晨辰,杨娟,汪春红,等.RBRVS-KPI模式下公立医院绩效考核体系构建及应用［J］.中国卫生质量管理,2021,28(5):44-47.［4］TOUKOLA KT, MERTANEN KKR, KAARTINEN MJ, et al. Outcome metrics in recommended performance measurement tools for emergency department performance evaluation: a systematic review［J］.Scand J Trauma Resusc Emerg Med, 2025, 33(1): 127.［5］郭雨朦,李天舒.基于业财融合的公立医院绩效评价指标体系构建与应用［J］.中国卫生质量管理,2025,32(6):42-45,50.［6］李红霞，徐帆，张蕾，等.我国医院电子病历系统建设效率评价［J］.中国卫生质量管理，2022，29 (1):11-15.［7］MOSTAFA R, ATAWI EK. Strategies to measure and improve emergency department performance: a review［J］.Cureus, 2024, 16(1): e52879.

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更新日期/Last Update: 2026-07-15