关于卫生系统对衰老的响应能力的高优先级指标的简单列表:一个eDelphi共识研究
Emmanuel Gonzalez-Bautista1, Patricia Morsch2, Cynthia Gonzalez3
1Gerontopole Toulouse University Hospital Toulouse France Gerontopole, Toulouse University Hospital, Toulouse, France.
概括
这项研究确定了七个关键指标,以评估老年人卫生系统的响应能力. 这些指标,包括死亡率和功能评估,可以为改善老年护理的公共政策提供信息.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 衡量卫生系统的响应能力对于解决老龄化人口的需求至关重要.
- 现有的指标可能无法充分捕捉老年护理的多方面的方面.
- 需要基于共识的方法来确定有效的与政策相关的指标.
研究的目的:
- 建立基于共识的有效指标清单,以衡量卫生系统对老年人的响应能力.
- 确定适合为公共政策提供信息和指导卫生系统改进的指标.
主要方法:
- 一项e-Delphi研究涉及141名参与者,他们拥有健康指标,卫生系统管理和老年护理方面的专业知识.
- 一个两轮的虚拟调查过程,使用24个指标的基线清单.
- 共识标准包括高优先级协议 (≥70%),较高的相对权重 (≥50%),以及前10名排名.
主要成果:
- 经过两轮的e-Delphi研究,在七个优先级指标上达成了共识.
- 与远程结果相关的五个指标:死亡率,残疾和健康的预期寿命.
- 一个指标侧重于监测功能评估,另一个指标侧重于贫困水平.
结论:
- 确定了七个指标,为评估卫生系统对老年人的响应提供了一个全面的框架.
- 卫生系统专业人员应该利用这些优先指标来加强对老年人口的护理和政策.
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