Validation analysis and evaluation of midwifery quality evaluation index system
10.3969/j.issn.1672-8467.2025.01.009
- VernacularTitle:助产质量评价指标体系的验证分析及评价
- Author:
Yue-jiao ZHAO
1
;
Li HUANG
1
;
Yan DING
1
Author Information
1. 复旦大学附属妇产科医院护理部 上海 200090
- Publication Type:Journal Article
- Keywords:
midwifery quality;
evaluation index;
clinical application;
comprehensive evaluation
- From:
Fudan University Journal of Medical Sciences
2025;52(1):71-76
- CountryChina
- Language:Chinese
-
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.
