Validation analysis and evaluation of midwifery quality evaluation index system
赵月娇 1黄丽 1丁焱1
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作者信息
1. 复旦大学附属妇产科医院护理部 上海 200090
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摘要
目的 应用前期构建的助产质量评价指标体系,评价其作为助产质量评价工具的实用价值.方法 选取泛长三角地区 13家不同等级及性质的医院作为研究对象,采用加权秩和比法、加权TOPSIS(technique for order preference by similarity to ideal solution)法、简单加权法这3种综合评价法对医院的助产质量进行评价排序.运用组合评价法对3种综合评价法的结果进行组合排序,采用肯德尔和谐系数对3种综合评价法的结果进行一致性检验.结果 13家医院包括3家三级甲等综合性医院、3家三级甲等妇产专科医院、1家三级乙等综合性医院、2家三级乙等妇产专科医院、1家二级甲等综合性医院、2家二级甲等妇产专科医院和1家二级乙等妇产专科医院.3种综合评价法对13家医院的评价结果排序略有不同,具有较高的一致性,肯德尔和谐系数W=0.794.组合评价法对13家医院的助产质量排序前4名为H10、H4、H1和H2,与研究假设的预判结果(H1、H2、H10的助产质量排序靠前)基本保持一致.结论 助产质量评价指标体系的评价结果稳定,能反映助产质量,具有较高的临床实用价值,可作为助产质量评价的科学工具.
Abstract
Objective To apply and evaluate the midwifery quality evaluation index system constructed in the early stage and verify its practical value as a midwifery quality evaluation tool.Methods Thirteen hospitals of different grades and natures in the Pan-Yangtze River Delta region were selected as the research objects.Three comprehensive evaluation methods,weighted technique for order preference by similarity to ideal solution(TOPSIS)method,weighted rank sum ratio(WRSR)method and simple additive weighted(SAW)method,were used to rank the quality of midwifery in the 13 hospitals.The results of the 3 methods were comprehensively ranked by the combination evaluation method.Kendall concordance coefficient was used to test the consistency of the three comprehensive evaluation results.Results The 13 hospitals consist of 3 comprehensive hospitals of Grade Ⅲ Class A,3 obstetrics and gynecology hospitals of Grade Ⅲ Class A,1 comprehensive hospital of Grade Ⅲ Class B,2 obstetrics and gynecology hospitals of Grade Ⅲ Class B,1 comprehensive hospital of Grade Ⅱ Class A,2 obstetrics and gynecology hospitals of Grade Ⅱ Class A,and 1 obstetrics and gynecology hospital of Grade Ⅱ Class B.Although the ranking results of the 13 hospitals evaluated by the 3 comprehensive evaluation methods were slightly different with the Kendall harmony coefficient W=0.794,which proved that they had high consistency.Top 4 of the 13 hospitals by the combination evaluation on the midwifery quality were H10,H4,H1 and H2.It was basically consistent with the predicted result of the research hypothesis(H1,H2 and H10 should be among the best in midwifery quality).Conclusion The evaluation results of midwifery quality evaluation index system are stable.The index system can reflect the midwifery quality and has high clinical practical value which can be used as a scientific tool for midwifery quality evaluation.
维普
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