Development of the Korean framework for senior-friendly hospitals: a Delphi study

Area of Science:

• Gerontology
• Healthcare Management
• Patient Safety

Background:

• Aging populations necessitate specialized healthcare approaches.
• Senior-Friendly Hospital principles are crucial for maintaining well-being in elderly patients during and after hospitalization.
• Systematic application of these principles enhances patient safety and quality of care.

Purpose of the Study:

• To develop recommendations for the Korean Framework for Senior-Friendly Hospitals.
• To enhance care management, patient safety interventions, and health promotion for older patients.
• To adapt international best practices to the Korean medical context.

Main Methods:

• A two-round Delphi survey was conducted with 15 experts experienced in healthcare accreditation.
• Participants evaluated the validity and feasibility of proposed standards for senior-friendly hospitals.
• Statistical analysis was used to assess the consensus on each standard.

Main Results:

• The initial framework comprised 4 Chapters, 11 categories, and 67 standards.
• After Delphi surveying, the framework was refined to 4 Chapters, 8 categories, and 30 standards.
• Validity evaluation confirmed most standards, while feasibility assessments led to the exclusion of specific categories (service, transportation, signage).

Conclusions:

• The finalized Korean Framework for Senior-Friendly Hospitals includes 30 standards across 8 categories.
• It is recommended that the Accreditation Program for Healthcare Organizations integrate these senior-friendly standards.
• Consideration of Korea's specific medical environment is essential for successful implementation.