Yang Hua, Pei Chenyang, Hu Guangyu, Gu Xiangyu, Sun Pengming, Xue Fengxia, Fan Zixuan, Liu Yuanli, Ma Jing, Zhu Lan
Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynaecological Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
School of Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
BMJ Open. 2025 May 8;15(5):e093959. doi: 10.1136/bmjopen-2024-093959.
The burden of gynaecological diseases is increasing globally, affecting women's health, quality of life and fertility. Improving the quality of gynaecological care will enhance patient recovery and improve outcomes of gynaecological diseases. However, comprehensive evaluation tools and nationwide data on the quality of gynaecological care are lacking. This study aims to develop a framework for evaluating gynaecological care quality in China, analysing disparities and proposing improvement strategies.
This nationwide study employs a sequential explanatory mixed-methods design across three phases: (1) questionnaire development through a literature review, indepth interviews, expert consultation and pilot testing; (2) collection of cross-sectional survey data from gynaecology departments, healthcare providers and patients in public healthcare facilities across 31 provinces in mainland China; and (3) integration and interpretation of qualitative and quantitative results. The study collects data on organisational structure, care processes and outcomes. Analysis of quantitative data will include risk adjustment of key quality indicators, comprehensive evaluation of care quality and exploration of influencing factors using linear regression. Qualitative data will undergo thematic and content analyses. Joint displays will be used to integrate the mixed-method results.
The study was approved by the Peking Union Medical College Hospital Ethics Committee (I-24ZM0003). All participants provided informed consent. Data were anonymised and participants retained the right to withdraw without penalty. A risk-benefit assessment was conducted, and no vulnerable groups were included without justification. These findings will be disseminated to healthcare policymakers through academic publications, scientific conference presentations and reports. The results are expected to provide methodological guidance for the quality evaluation of gynaecological care and inform policy development in China.
全球范围内，妇科疾病的负担正在增加，影响着女性的健康、生活质量和生育能力。提高妇科护理质量将促进患者康复并改善妇科疾病的治疗效果。然而，目前缺乏全面的评估工具和全国范围内关于妇科护理质量的数据。本研究旨在构建一个评估中国妇科护理质量的框架，分析差异并提出改进策略。
这项全国性研究采用了顺序解释性混合方法设计，分为三个阶段：（1）通过文献综述、深入访谈、专家咨询和预试验来制定问卷；（2）从中国大陆31个省份的公共医疗机构的妇科科室、医疗服务提供者和患者中收集横断面调查数据；（3）整合和解释定性与定量结果。该研究收集有关组织结构、护理过程和结果的数据。定量数据分析将包括关键质量指标的风险调整、护理质量的综合评估以及使用线性回归探索影响因素。定性数据将进行主题和内容分析。联合展示将用于整合混合方法的结果。
本研究已获得北京协和医院伦理委员会批准（I-24ZM0003）。所有参与者均提供了知情同意书。数据进行了匿名处理，参与者保留无惩罚退出的权利。进行了风险效益评估，未经正当理由未纳入弱势群体。这些研究结果将通过学术出版物、科学会议报告和研究报告传播给医疗政策制定者。预计这些结果将为妇科护理质量评估提供方法学指导，并为中国的政策制定提供参考。
