在中国上海,为家庭卫生机构开发综合人为中心的护理质量指标:修改后的德尔菲分析层次流程研究
Xiaolin He1, Jiali Wang2, Yan Liang2
1Department of Social Policy, Shanghai Administration Institute, Shanghai, China.
概括
为上海家庭卫生机构开发了以人为中心的综合护理质量指标系统. 该框架有助于评估和标准化老年人护理质量,改善长期护理服务.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 老年医疗护理 医疗护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 上海的家庭卫生机构需要强大的质量指标.
- 整合以人为中心的护理 (PCC) 和综合护理对于有效的老年人支持至关重要.
- 现有的框架可能无法充分满足中国家庭老年人的特定需求.
研究的目的:
- 为中国上海的家庭卫生机构开发以人为中心的综合护理质量指标.
- 建立一个标准化的框架来评估和提高护理质量.
- 支持长期护理服务和支持 (LTSS) 的发展.
主要方法:
- 该研究采用混合方法方法,结合了德尔菲方法和分析层次过程 (AHP).
- 一个由家庭医疗保健,护理,卫生政策,质量改善,PCC和综合护理领域的十名专家组成的小组参加了会议.
- 有目的的抽样确保了相关子领域的专家代表.
主要成果:
- 专家意见显示了良好的协调,肯德尔的W从0.352到0.386不等 (p < 0.001).
- 权威系数 (Cr) 为0.835,表明专家的共识很高.
- 建立了一个全面的质量指标系统,包括3个第一级,15个第二级和56个第三级指标.
结论:
- 成功开发了一套经过验证的质量指标系统,用于家庭卫生机构的以人为中心的综合护理.
- 该框架为护士,管理人员和决策者提供了一种评估和改善护理质量的工具.
- 这些指标可以指导老年人长期护理服务的标准化和发展.
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