澳大利亚老年护理评估服务以人为中心的质量指标:一项混合方法研究
Sandra Smith1, Catherine Travers2, Melinda Martin-Khan3,4
1The University of Queensland, Centre for Health Services Research, Brisbane, Australia. sandra.smith@uqconnect.edu.au.
Research involvement and engagement
|August 14, 2024
概括
老年澳大利亚人为老年护理评估服务确定了24个以人为中心的质量指标 (PC-QI). 这些指标对于评估用户服务质量至关重要.
科学领域:
- 老年学和卫生服务研究研究
- 以消费者为导向的护理模式
- 医疗保健中的质量测量
背景情况:
- 澳大利亚的老年护理评估小组 (ACAT) 确定了获得英联邦资助的老年护理服务的资格.
- 现有的老年护理机构的质量指标不包括服务用户的观点.
- 对于老年护理评估服务,需要以人为中心的质量指标 (PC-QI).
研究的目的:
- 解决老年护理评估服务以人为中心的质量衡量的差距.
- 从当前和未来的服务用户的角度来看,确定24个预先识别的PC-QI的重要性.
- 建立对评估老年护理的基本质量指标的共识.
主要方法:
- 一项采用RAND/UCLA适当性方法的混合方法研究.
- 澳大利亚布里斯班的25名社区老年人投票决定了24个PC-QI的重要性,他们使用了五分利克尔特等级.
- 个人投票 (面对面或电话) 被录音,转录,并进行定量和定性分析.
主要成果:
- 在投票过程中没有PC-QI被淘汰,这表明所有24个指标都达成了共识.
- 观察到参与者对个人PC-QI的重要性评级存在显著差异.
- 五个PC-QI被确定为最重要的,其特点是中位数高,评级差异低.
结论:
- 参与者在24个基于证据的PC-QI上达成共识,这些都是老年护理评估服务.
- 这些PC-QI代表了从老年护理服务用户的角度来看,关键的质量指标.
- 这些发现为在老年护理评估中开发和实施以人为中心的质量措施提供了基础.
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