Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-12-28 Cooperative journals: 《中国全科医学》
Abstract： Background With the deepening of aging in China，there is an increasing demand for home care services for disabled elderly individuals. The evaluation of service quality provides an assurance for the implementation of high#2;quality services. Objective To develop a quality indicator system for the delivery of home care services to the disabled elderly population in Beijing based on the Delphi method，so as to offer objective criteria for evaluating the quality of home care services provided by community health service institutions. Methods Based on literature research and qualitative study，a preliminary pool of indicator system entries for the indicator system was formed，and an expert correspondence form was designed. A total of 21 community nursing，general practice，and management research personnel experts with rich experience in the field of home medical services and elderly comprehensive assessment in Beijing were selected，and an expert correspondence form was sent to them by email from June to October 2021 to conduct three rounds of Delphi expert correspondence. The experts' personal information and authority were recorded and analyzed，to the establish a quality indicator system for home care services for disabled elderly individuals in Beijing. Results All three rounds of expert correspondence form were returned and valid，with a 100% positive coefficient of experts from the 21 selected experts who had a mean expert authority score of 0.927 （ranging from 0.700 to 1.000），indicating an acceptable level of expertise. The first，second，and third rounds of expert correspondence yielded importance and feasibility coordination coefficients of 0.170 and 0.140（P<0.001），0.147 and 0.175 （P<0.001），0.231 and 0.208 （P<0.001），respectively，indicating a high level of consensus among the experts and the reliability of the correspondence results. The resulting quality indicator system for home care services for disabled elderly individuals included three primary indicators of service conditions，service processes，and service outcomes，as well as nine secondary indicators and 34 tertiary indicators. Conclusion The indicator system constructed in this study is appropriate for evaluating the implementation quality of single visit medical service，and providing a reference for community health service institutions to formulate regulations and work programs.
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