托嬰中心評鑑指標鑑別度與相關因素分析之研究

A Study on the Discriminative Power and Related Factors of Childcare Center Evaluation Indicators

托嬰中心評鑑指標由衛生福利部社會及家庭署擬定與公告，並提供縣市政府依循與執行。《兒童托育服務法》通過後，未來托嬰中心評鑑指標將由中央訂定、全國統一。本研究旨在分析現行托嬰中心評鑑指標有效性，以做為衛生福利部社會及家庭署修訂評鑑指標之參採依據。本研究目的為：分析托嬰中心評鑑指標及評鑑結果，採統計方式分析行政類、衛生類、教保類指標的有效性，並比較不同性質的托嬰中心，在行政、衛生和教保類評鑑指標的通過情形，以提供未來托嬰中心訪視輔導與品質精進之參考。本文蒐集全國22縣市共681份托嬰中心評鑑報告進行指標鑑別度分析，35項指標中，共有17項指標達0.40，顯示指標非常優良、無須修正、10項指標介於0.30~0.39為優良，可考慮略為調整或酌修、8項指標介於0.20~0.29為尚可，建議修改。研究者比較公設民營托嬰中心、私立托嬰中心與社區公共托育家園，在三類評鑑項目通過比例是否有顯著差異，結果顯示公設民營托嬰中心與社區公共托育家園多項指標通過比例優於私立托嬰中心。

The evaluation of childcare centers is currently administered by local governments, with indicators developed and published by the Social and Family Affairs Administration of the Ministry of Health and Welfare as a reference framework. Following the enactment of the Child Care Services Act, future evaluation indicators will be standardized nationwide and set directly by the central government. This study examines the effectiveness of the existing evaluation indicators, offering evidence to support their future revision by the Social and Family Affairs Administration. Specifically, the study aims to (1) statistically assess the effectiveness of administrative, health, and educational/care indicators, and (2) compare pass rates across different types of childcare centers. A total of 681 evaluation reports from centers across 22 municipalities were analyzed to test the discriminative power of the indicators. Of the 35 indicators, 17 achieved a discriminative index of≥0.40, indicating excellent performance and requiring no revision; 10 scored between 0.30 and 0.39, suggesting they are strong but may need minor adjustments; and 8 fell between 0.20 and 0.29, indicating a need for substantial revision. Significant differences were also observed across provider types: public centers and public childcare homes outperformed private centers overall.