Department of Community Welfare, Niimi University, Niimi 718-8585, Japan.
Department of Social Science, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan.
Int J Environ Res Public Health. 2022 Feb 18;19(4):2361. doi: 10.3390/ijerph19042361.
Intending to obtain scientific evidence to use in developing indicators for evaluating the quality of home care, we surveyed doctors, nurses, and other home care professionals to determine the points they consider to be essential in evaluating home care. We investigated all 901 clinics registered to the National Association of Medical Institutions Supporting Home Care and a random sample of 600 Visiting Nurse Service stations registered to the National Association for Visiting Nurse Service in Japan. A total of 539 questionnaire responses were received (response rate: 35.9%). In this study, a factor analysis revealed four factors to be considered when evaluating the quality of home care: (1) patients' and family members' level of satisfaction, (2) home care process, (3) structure of home care, and (4) medical outcomes. The factor of the satisfaction of patients and family members identified in the present study was not considered in previous studies for evaluating the quality of care in Japan. Satisfaction is the point of difference in goals between hospital-based care and home care, and it requires different measurement indicators. Home care professionals expect to help relieve the physical and psychological burden felt by the patient and their family. Thus, on the evaluation indicators of quality of home care, their perspectives from the present study are valuable.
为了获得用于制定家庭护理质量评估指标的科学依据，我们调查了医生、护士和其他家庭护理专业人员，以确定他们认为评估家庭护理时必不可少的要点。我们调查了所有 901 家注册于全国医疗机构支持家庭护理协会的诊所和随机抽取的 600 家注册于全国上门护理服务协会的上门护理服务站。共收到 539 份问卷答复（答复率：35.9%）。在这项研究中，通过因子分析揭示了评估家庭护理质量时需要考虑的四个因素：（1）患者和家属的满意度，（2）家庭护理过程，（3）家庭护理结构，和（4）医疗效果。本研究中确定的患者和家属满意度因素在日本以前的护理质量评估研究中并未涉及。满意度是医院护理和家庭护理目标的差异点，需要不同的衡量指标。家庭护理专业人员希望帮助减轻患者及其家属的身心负担。因此，在家庭护理质量评估指标方面，本研究的观点具有价值。
