Health Economics Department, School of Public Health, Fudan University, Shanghai, China.
Front Public Health. 2022 Jun 29;10:884514. doi: 10.3389/fpubh.2022.884514. eCollection 2022.
This study develops a group of service capability indicators for long-term care facilities to assess their current conditions and makes it the first step toward the improvement of service capability in China.
We constructed an initial indicator framework based on the characteristics of long-term care services and a literature review. Potential indicators were collected, and a 2-round modified web-based Delphi process was conducted by a national multidisciplinary expert panel to construct a service capability evaluation index system. The accepted competencies of indicators were established with mean scores in all three scoring criteria (importance, feasibility, and sensitivity) ≥ 4.0, consensus rate reached 70.0%, and a coefficient of variation ≤ 0.25.
A new indicator framework covering 2 dimensions of inputs and activities was developed in this study. The initial 35 indicators formed an indicator pool for the Delphi questionnaire. According to the final consensus of the expert panel, the Delphi consultation resulted in an index system comprised 31 tertiary indicators across six subdimensions (i) staffing; (ii) facilities and equipment; (iii) funding; (iv) medical inspection services; (v) health management services; (vi) institutional standard management.
This study developed a set of indicators suitable for the long-term care system in China and is expected to be applied to measure and improve the service capability of long-term care facilities. In addition, these indicators can be used for comparisons between different LTCFs and provide an evidence basis for the further development of capability assessment tools.
本研究制定了一组长期护理机构的服务能力指标，以评估其现状，并为提高中国长期护理服务能力迈出第一步。
我们根据长期护理服务的特点和文献回顾构建了一个初始指标框架。通过全国多学科专家小组进行了两轮修改后的基于网络的德尔菲法，收集潜在指标，构建服务能力评价指标体系。接受指标的能力通过所有三个评分标准（重要性、可行性和敏感性）的平均得分≥4.0，共识率达到 70.0%，变异系数≤0.25来确定。
本研究开发了一个涵盖投入和活动两个维度的新指标框架。最初的 35 个指标形成了德尔菲问卷的指标库。根据专家小组的最终共识，德尔菲咨询得出了一个由 31 个三级指标组成的指标体系，涵盖六个子维度：（一）人员配置；（二）设施和设备；（三）资金；（四）医疗检查服务；（五）健康管理服务；（六）机构标准管理。
本研究制定了一套适合中国长期护理体系的指标，有望用于衡量和提高长期护理机构的服务能力。此外，这些指标可用于比较不同长期护理机构，并为进一步开发能力评估工具提供证据基础。
