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社区老年人智慧居家养老服务质量评价指标体系研究——基于德尔菲法和层次分析法。

A study on the quality evaluation index system of smart home care for older adults in the community --based on Delphi and AHP.

机构信息

Institute of Health Management, Southern Medical University, No.1023-1063 Shatai Road, Baiyun District, Guangzhou City, Guangdong Province, China.

出版信息

BMC Public Health. 2023 Mar 1;23(1):411. doi: 10.1186/s12889-023-15262-1.

Abstract

BACKGROUND

In the context of the "silver wave" and "technology wave", smart home care for older adults in the community provide new ways for China and other countries to support ageing in place. Yet, only very few studies have focused on developing a quality index system of smart care. This study attempted to draw on the SERVQUAL model to establish a quality evaluation index system for smart senior care for older adults in the community.

METHODS

On the basis of the service quality model, this paper has integrated qualitative and quantitative analyses using the Delphi and Analytic Hierarchy Process (AHP) methods to construct the index system of smart home care in the community and obtain the weights. These were based on literature research and field interviews in Guangzhou and Shenzhen pilot districts.

RESULTS

A quality evaluation indexes system of smart home care for older adults in the community was developed, with 5 primary indices and 33 secondary indices. The weights of the 5 stair indices from high to low were smart emergency assistance 0.332, smart meal assistance 0.272, smart medical assistance 0.229, smart cleaning assistance 0.110 and smart amusement assistance 0.057.

CONCLUSION

The results from the weight allocation revealed smart emergency assistance, smart meal assistance, and smart medical care assistance were the most important and crucial aspects of community-based smart home care. The study also suggested that "timeliness", "reliability", and "ease of use" should be given more attention. It is recommended to use this index system as a regulatory benchmark to guide the government bodies, senior care enterprises and communities to take measures to enhance the quality.

摘要

背景

在“银发浪潮”和“科技浪潮”的背景下,社区智慧养老为中老年人提供了支持就地养老的新途径。然而,仅有极少数研究致力于开发智慧养老服务的质量指标体系。本研究试图借鉴 SERVQUAL 模型,为社区中老年人的智慧养老服务构建质量评价指标体系。

方法

在服务质量模型的基础上,本文运用德尔菲法和层次分析法(AHP)相结合的定性和定量分析方法,构建社区智慧养老服务指标体系并获取权重。该指标体系的构建基于广州和深圳试点区的文献研究和实地访谈。

结果

构建了社区智慧养老服务质量评价指标体系,包括 5 个一级指标和 33 个二级指标。5 个一级指标权重由高到低依次为智慧紧急援助 0.332、智慧膳食援助 0.272、智慧医疗援助 0.229、智慧清洁援助 0.110 和智慧娱乐援助 0.057。

结论

权重分配结果表明,智慧紧急援助、智慧膳食援助和智慧医疗保健是社区智慧居家养老服务中最重要和最关键的方面。研究还建议应更加关注“及时性”、“可靠性”和“易用性”。建议将该指标体系作为监管基准,指导政府部门、养老服务企业和社区采取措施提高服务质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0638/9976477/95622e6602c4/12889_2023_15262_Fig1_HTML.jpg

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