Preliminarily Developing Assessment Indicator System For Assessing The Quality Of IUD Insertion Services Provided In Rural Areas In China

ObjectiveThis study aimed to evaluate the grassroots rural IUD (Intrauterine device, IUD) insertion on the quality of service, and preliminarily to develop a suitable service development status of China's grassroots rural IUD, with certain scientific and practical evaluation index system, to improve grass-roots level on IUD insertion services standardization and the degree of scientific in rural areas.Provide some of the methodological basis and recommendations for grassroots rural IUD insertion technical service quality evaluation practice, at the same time, explore the hierarchical cluster analysis in Delphi expert screening.MethodsThis study used the nominal group method to collect and analyze the key factors of grassroots rural IUD insertion service quality literature study, and on this basis, the expert panel discussion put forward to the grass-roots rural IUD insertion services quality evaluation index. Using Delphi experts consultation method (Delphi method) in the nationwide consultation service and management of IUD placed relevant experts, the author puts forward the method of subject group index importance, measurable, feasibility evaluation, and then to screening and determine the index weight, thus sets up an assessment indicator system for assessing the quality of IUD Insertion services provided in rural areas in ChinaContentsIn this study, grass-roots rural IUD insertion the quality of service for the evaluation of object, using qualitative and quantitative methods selection index, to set up a comprehensive evaluation index system. The main contents include:(1) On IUD insertion evaluation of the quality of service initially built to convene topics panel discussions on the basis of the domestic and foreign relevant theory and the literature research about the yunnan province county/township levels IUD placed service status and total quality management research, a nominal group discussion was held in order to IUD insertion the initial construction of the service quality evaluation for the "What are the factors or aspects that may affect the quality of the grass-roots rural IUD insertion services?" this theme. The participants write out the impact of grassroots rural IUD insertion quality of service or level of key factors, and their order of importance on small pieces of paper according to their own knowledge and experience. Then task group member of participants to the key factors proposed system collection and analysis, and then the author puts forward the basic IUD insertion the service quality evaluation index.(2) Screen index through the experts argumentation and Delphi experts consultation method and calculation of further screening index weight indicators. Determined by network retrieval, experts recommend other ways, the research group of experts to be consulted, at the same time according to the indicators of the importance of the consistency of analysis and literature review, developed a questionnaire of the Delphi consultation consists of three parts, namely, expert score sheet, the experts information table, and open-ended questionnaire. Then we distribute, recycle, sort, entry and analyze the expert consultation questionnaire. Finally, the further selection of indicators and to determine the weight Delphi questionnaire analysis and experts to discuss.(3) In the current round of Delphi method expert consultation, and on the basis of using the system clustering method to experts reliability of the classification and screening, through the coordination coefficient before and after screening Sort results be verified.Results(1) A series o f essential indicators, including three levels(3indicators at the primary level,11indicators at the second level and59indicators at the third level), were developed through the initial nominal group method.(2) In the first round of the Delphi expert consultation positive coefficient was86.3%, the experts coefficient>65%. Through the above a series of research activity, combining the expert evaluation and discussion group initially built to IUD placed quality, basic management quality and medical process quality index of three kinds of main structure are of different levels of index system, including one class index3, level2index11, level3index39. IUD insertion quality index of before, including insertion in place, placed three secondary indexes after; Basic management quality indexes including organization, personnel, technical training, and rules and regulations, equipment and material support such six level2index; Medical process quality indicators include work the ability of medical services and consulting technical capacity and two level2index; Level3index here for not a tautology.(3) Use of system clustering method63consultant filter17. Index coordinate coefficient of45.46%increased after screening, the difference was statistically significant (Z=-4.70,<0.01). ConclusionsBased on the above findings, this study obtained the following conclusions (1) to establish the index system structured, covering a comprehensive, effective, credible and actionable (2) reasonable indicators of the screening method (3) to determine the index weight coefficient the scientific method, the results are relatively accurate (4) screening experts in the Delphi method, the use of hierarchical cluster analysis to improve the coordination coefficient, after the number of less Delphi method expert consultation, to obtain more reliable expert advice is feasible.(5) The organic combination of qualitative and quantitative effective way to build the index system (6) The evaluation system needs to be further amendments in the future research, assessment, verification and improvement.