Department of Social Policy, Shanghai Administration Institute, Shanghai, China.
School of Nursing, Fudan University, Shanghai, China.
Geriatr Nurs. 2024 Jul-Aug;58:1-7. doi: 10.1016/j.gerinurse.2024.04.025. Epub 2024 May 4.
OBJECTIVES: To develop person-centered integrated care quality indicators for home health agencies in Shanghai, China. DESIGN: The study combined the Delphi method and the analytic hierarchy process (AHP). MATERIAL AND METHODS: The Delphi consultation questionnaire was distributed to experts in home healthcare in Shanghai, China. A panel of experts with experience in home healthcare in Shanghai, China, was selected. Purposive sampling was used to choose experts. In this study, ten experts were selected from within sub-fields of home healthcare, including nursing, health policy, quality improvement, person-centered care (PCC), and integrated care. RESULTS: The authority coefficient (Cr) in this study was 0.835. The coordination degree of experts' opinions, which is expressed by Kendall coordination coefficient W (a higher value, better coordination of the item), ranged from 0.352 to 0.386 (p < 0.001). The consistency ratio (CR) values for each level were less than 0.1. The quality indicator system included three first-level indicators, 15 second-level indicators, and 56 third-level indicators. CONCLUSIONS: A person-centered integrated care quality indicator system was developed for home health agencies. The findings from this study enable nurses, managers, and policymakers in home and community-based settings to evaluate person-centered integrated care quality using a robust framework. In addition, these indicators can also be used as a standardized tool to guide the development of long-term care services and supports (LTSS) for home-bound elderly.
目的:为中国上海的家庭保健机构制定以人为本的综合保健质量指标。
设计:本研究结合德尔菲法和层次分析法(AHP)。
材料与方法:向中国上海家庭保健专家分发了德尔菲咨询问卷。选择了具有中国上海家庭保健经验的专家小组。采用目的性抽样选择专家。本研究从家庭保健的护理、卫生政策、质量改进、以人为本的护理(PCC)和综合保健等子领域中选择了 10 名专家。
结果:本研究的权威系数(Cr)为 0.835。专家意见的协调程度,由 Kendall 协调系数 W 表示(值越高,项目的协调程度越好),范围为 0.352 至 0.386(p<0.001)。每个层次的一致性比率(CR)值均小于 0.1。质量指标体系包括三个一级指标、15 个二级指标和 56 个三级指标。
结论:为家庭保健机构制定了以人为本的综合保健质量指标体系。本研究的结果使家庭和社区环境中的护士、管理人员和政策制定者能够使用强大的框架评估以人为本的综合保健质量。此外,这些指标还可以作为指导面向居家老年人的长期护理服务和支持(LTSS)发展的标准化工具。
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