Development of a public health performance evaluation system for maternity and child health hospi-tals:an empirical study using on module quantification and standard work hour quotas
10.3969/j.issn.1671-332X.2025.11.022
- VernacularTitle:基于模块量化及工时定额的妇幼保健机构妇幼公卫绩效体系探索
- Author:
Jinfeng LI
1
;
Jieying RUAN
1
;
Xiuhui HUANG
1
;
Yongmei CHEN
1
Author Information
1. 江门市妇幼保健院 广东江门 529000
- Publication Type:Journal Article
- Keywords:
Maternity and child health care institutions;
Maternity and child project management;
Performance alloca-tion;
Impact assessment
- From:
Modern Hospital
2025;25(11):1729-1732,1738
- CountryChina
- Language:Chinese
-
Abstract:
Objective Maternal-and-child health(MCH)hospitals simultaneously provide clinical care and manage community-based public-health projects for women and children.We aimed to design and test a performance-based salary and e-valuation system that recognizes this dual responsibility and incentivizes high-quality public-health work.Methods Aligned with the national tertiary-level MCH-hospital performance appraisal standards and local project realities,we applied four industrial-en-gineering techniques—empirical time-and-motion estimation,classification,analogy and work-study—to convert every public-health project into quantifiable modules with pre-set labor-hour quotas.Bonuses were calculated under"more work,more pay"and"increment incentive"rules,while appraisal covered two dimensions:(ⅰ)project-specific indicators(coverage,timeliness,completeness)and(ⅱ)outcome evaluation(health impact and user satisfaction).Performance pay was then approved and dis-tributed to staff responsible for project management.Results Analysis of the 2022-2024 implementation period showed clear gains:① Work-force mobilization:departments managing MCH projects grew from 17 to 22 and staff from 22 to 73;all core pro-ject indicators improved significantly.② Service expansion:valid service volume generated by jurisdiction-level MCH project ac-tivities rose by 62.31％.Conclusion The scientific,standardized and operable performance and evaluation system for maternity and child projects developed in this study can help effectively improve the management efficiency of maternity and child projects in the jurisdiction and promote the high-quality development of the hospital.
