目的 探索采用德尔菲法确定上海市妇幼保健服务价格项目优先调整清单，为后续申请价格调整奠定基础。方法 基于上海市妇幼保健服务项目调整的需求调查结果，应用德尔菲法开展专家函询，对需要调整妇幼保健服务价格项目的优先级和属性进行评分。结果 两轮咨询专家积极性较好，问卷回收率均为100%。咨询专家权威系数方面，儿童保健服务项目分别为0.933和0.927，孕产保健服务项目分别为0.927和0.920。两轮函询后，儿童保健服务项目和孕产保健服务项目的肯德尔协调系数分别为0.149和0.182，均具有统计学意义（P <0.05）。最终确定儿童行为发育评估、儿童视力筛查、龋病风险评估、儿童保健体检咨询、儿童行为干预训练、儿童膳食评估指导以及儿童脊柱测试等11项儿童保健服务项目以及孕期体重管理、危重孕产妇现场抢救会诊费（院外）、导乐陪产、孕产妇心理筛查和咨询、产后母乳喂养指导、营养状况评估与咨询以及孕妇学校特色课程共8项孕产保健服务项目的优先调整清单。结论 本研究应用德尔菲法确定妇幼保健服务价格项目的优先调整清单，具有较好的科学性和合理性，可为今后常规开展妇幼保健服务价格项目调整提供参考，对其他省市妇幼保健服务价格项目调整提供借鉴。

Objective To explore priority adjustment list of maternal and child health(MCH) care service price items by the Delphi method in Shanghai, so as to provide evidence for subsequent applications for price adjustments. Methods Based on the results of a metrowide survey on the demand for adjustment of MCH care price items, the Delphi method was used to conduct expert consultation to score the adjustment priorities and attributes of MCH care price items. Results Experts in the 2 rounds of consultation were highly motivated, and the questionnaire response rate was 100%. The expert authority coefficients of child health care items were0.933 and 0.927, while those of maternal health care items were 0.927 and 0.920. After 2 rounds of consultation, the Kendall coordination coefficients of child health care service items and maternal health care service items were 0.149 and 0.182, and the differences were statistically significant(P < 0.05). A list of 11 child health care items, including child behavioral development assessment, child vision screening, caries risk assessment, child health care medical examination and consultation, child behavioral intervention training, child dietary assessment and guidance, and child spinal test, as well as 8 maternal health care items, including maternal weight management, on-site rescue consultation fees for maternal near miss(out-of-hospital), Doula delivery, maternal psychological screening and counselling, postpartum breastfeeding guidance, nutritional assessment and counselling, and special courses in maternity schools, were verified to be prioritized for adjustment. Conclusion This study confirms priority adjustment list of MCH care service price items by the Delphi method scientifically and rationally, which provides evidence and reference for the adjustment of MCH care price items in future daily work and experiences for other provinces and cities.