| 引用本文: |
彭静,贺海燕,胡建中,龙艳芳,王海涛,李丽.医养服务机构质量评价指标体系的构建与初步应用[J].湖南中医药大学学报,2024,44(2):332-337[点击复制] |
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| 医养服务机构质量评价指标体系的构建与初步应用 |
| 彭静,贺海燕,胡建中,龙艳芳,王海涛,李丽 |
| (中南大学湘雅医院临床护理学教研室, 湖南 长沙 410008;中南大学湘雅护理学院, 湖南 长沙 410013;中南大学湘雅医院移动医疗教育部-中国移动联合实验室, 湖南 长沙 410008;国家老年疾病临床医学研究中心(湘雅), 湖南 长沙 410008;中南大学湘雅医院临床护理学教研室, 湖南 长沙 410008;中南大学湘雅医院全科医学科, 湖南 长沙 410008;中国老龄科学研究中心, 北京 100088;中南大学湘雅医院临床护理学教研室, 湖南 长沙 410008;国家老年疾病临床医学研究中心(湘雅), 湖南 长沙 410008) |
| 摘要: |
| 目的 以“结构-过程-结果”理论为框架，构建医养服务机构质量评价指标体系并初步应用。方法 基于文献研究、小组讨论、德尔菲法及层次分析法，确定评价指标体系和各指标权重。应用该指标体系在长沙市3家医养服务机构进行现场评价。结果 共进行2轮函询，专家权威系数分别为0.915和0.927，协调系数分别为0.211和0.164，最终确定一级指标3个，二级指标13个，三级指标53个。评价指标体系的Cronbach's α系数为0.786，平均内容效度指数为0.862。在3家医养服务机构进行的预调查效果较好。结论 医养服务机构质量评价指标体系信度、效度较好。构建的指标科学、合理、实用性强，能有效评价医养服务机构质量并发现问题。 |
| 关键词: 医养结合 养老机构 质量评价 指标体系 文献研究 德尔菲法 层次分析法 |
| DOI：10.3969/j.issn.1674-070X.2024.02.023 |
| 投稿时间：2023-08-23 |
| 基金项目:国家重点研发计划项目（2018YFC2002405）；湖南省自然科学基金项目（2021JJ70144，2022JJ70161）。 |
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| Construction and preliminary application of quality evaluation indicator system for medical and nursing service institutions |
| PENG Jing,HE Haiyan,HU Jianzhong,LONG Yanfang,WANG Haitao,LI Li |
| (Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan 410008, China;Xiangya School of Nursing, Central South University, Changsha, Hunan 410013, China;"Mobile Health" Ministry of Education-China Mobile Joint Laboratory, Xiangya Hospital of Central South University, Changsha, Hunan 410008, China;National Clinical Research Center for Geriatric Disoders (Xiangya Hospital), Changsha, Hunan 410008, China;Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan 410008, China;Department of General Medicine, Xiangya Hospital of Central South University, Changsha, Hunan 410008, China;China Research Center for Aging, Beijing 100088, China;Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, Hunan 410008, China;National Clinical Research Center for Geriatric Disoders (Xiangya Hospital), Changsha, Hunan 410008, China) |
| Abstract: |
| Objective To construct and preliminarily apply the quality evaluation indicator system for medical and nursing service institutions based on the theory of "structure-process-result".Methods Based on literature research, group discussion,Delphi method, and analytic hierarchy process, the evaluation indicator system and the weights of each indicator were determined,and then the indicator system was applied to conducting on-site evaluations of three medical and nursing service institutions in Changsha.Results A total of two rounds of expert consultation were conducted, of which the expert authority coefficients were 0.915and 0.927, respectively, and the coordination coefficients were 0.211 and 0.164, respectively. Finally, three first-level indicators, 13second-level indicators, and 53 third-level indicators were determined. The Cronbach's α coefficient of the evaluation indicator system was 0.786, and the average content validity index was 0.862. Accordingly, the preliminary survey conducted in the three medical and nursing service institutions achieved a good result.Conclusion The quality evaluation indicator system for medical and nursing service institutions has good reliability and validity. Moreover, the constructed indicators are scientific, reasonable, and highly practical, which can effectively evaluate the quality of medical and nursing service institutions and identify problems. |
| Key words: combination of medical and nursing care nursing home quality evaluation indicator system literature research Delphi method analytic hierarchy process |
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