【摘要】 目的 妇幼保健机构在履行临床诊疗职责的同时承担着辖区妇幼项目管理与公共卫生服务职能，本研究以广东某市级妇幼保健机构为研究对象，探索建立符合妇幼保健机构双重属性特点的绩效分配及考核体系，并通过实证研究提出从事妇幼项目管理绩效分配及考核机制的提升策略，促进妇幼保健机构高质量发展。方法 以三级妇幼保健机构绩效监测为导向，结合地区妇幼项目管理实际，采用经验估工法、分类归纳法、类推比较法和工作研究法，基于模块量化及工时定额，遵循“多劳多得”“增量激励”原则进行绩效量化，同时建立“项目指标”“效果评价”两个维度的考核体系，对从事妇幼项目管理人员进行绩效核定发放。结果 通过2022—2024年实践状况分析，该医院因实施该公卫绩效分配及考核体系带来积极有效影响:(1)激发工作效能，从事妇幼项目管理科室及人员由2022年末的17个业务科室22人扩展至2024年的22个科室73人，相关妇幼项目管理指标有效提升;(2)促进医院业务发展，因开展辖区妇幼项目管理延伸的有效服务量增幅达62.31%。结论 构建科学、规范、可操作的妇幼项目绩效分配及考核体系，可有效助力辖区妇幼项目管理效能提升同时促进医院高质量发展。更多还原

【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 evaluation 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-engineering techniques—empirical time-and-motion estimation,classification,analogy and work-study—to convert every publichealth 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 distributed 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 project indicators improved significantly．(2) Service expansion: valid service volume generated by jurisdiction-level MCH project activities 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.更多还原