基于家庭的社区老年人护理质量指标在中国:一个系统的文献审查
Xi Chen1, Rahimah Ibrahim1,2, Yok Fee Lee3
1Malaysian Research Institute on Ageing, Universiti Putra Malaysia, Serdang 43400, Malaysia.
Healthcare (Basel, Switzerland)
|July 29, 2025
概括
中国中国中国中国.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 医疗保健质量管理 医疗保健质量管理
背景情况:
- 中国人口老龄化需要改善社区老年护理.
- 缺乏标准化,文化相关的评估框架,阻碍了家庭社区老年护理 (HCEC) 的质量评估.
研究的目的:
- 系统地审查和评估中国HCEC现有的质量指标 (QI).
- 确定差距,并为开发HCEC的综合性,适合环境的质量框架提供信息.
主要方法:
- 在主要数据库 (Web of Science,PubMed,Wiley,CNKI) 进行系统的文献搜索 (2008年至今).
- 使用Donabedian的结构-过程-结果 (SPO) 模型提取和分类的质量指标 (QI).
- 遵守PRISMA系统审查指南.
主要成果:
- 15项研究产生了QI集 (5-64个指标),主要集中在结构和过程上.
- 发现了重大差距:术语不一致,结果测量有限,医疗整合不足,利益相关者的投入有限,文化适应不佳.
- 主观权重方法普遍存在,影响了指标可靠性.
结论:
- 中国现有的HCEC质量指标是分散的,缺乏文化特异性,医疗整合性和方法论严谨性.
- 未来的研究必须开发具有标准化术语的文化定,医学全面的QI框架.
- 参与式方法,混合方法和与国际标准 (例如,经合组织) 的协调对于基于证据的政策制定至关重要.
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