Objective To analyze the extent of deficit in performance incentive among maternal health care (MHC) staff, the changing trend of maternal mortality rate (MMR) and their regional disparities in Beijing and Shanghai municipality during the period from 2000 through 2017 and to explore appropriate performance incentive among MHC staff.
Methods We searched China National Knowledge Infrastructure (CNKI) and Web of Science for research literatures on human resource for MHC in Beijing and Shanghai municipality published during 1995 – 2017. The information on performance incentive among the MHC staff was extracted from 115 retrieved studies (61 relevant to Shanghai and 54 to Beijing) for calculation of a severity score to evaluate the deficit in the performance incentive. Spearman correlation and linear regression analysis were used to analyze the relationship between the deficit in performance incentive among MHC staff and MMR.
Results For Beijing municipality, the severity score for the deficit in performance incentive among MHC staff decreased from 3.79 in 2000 to 2.61 in 2017, while for Shanghai municipality, the score decreased from 3.45 to 2.13. A significant correlation between the severity score and MMR was detected for Shanghai (r = 0.542, P < 0.05).
Conclusion The performance incentive among maternal health care staff increased gradually in both Beijing and Shanghai municipality during 2000 – 2017 and the impact of the improvement in the performance incentive on the decrease of maternal mortality rate is more obvious for Shanghai. The study verified the feasibility of quantitative assessment on the performance incentive among maternal health care staff.
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