“整合照料”理念下的社区卫生服务中心托老科养老服务评价指标体系的构建  

Construction of evaluation index system of geriatric pension services in community health service center under concept of integrated care

作　　者：罗羽 王丹 罗月 张慧兰 郑文红 何苗[2] Luo Yu;Wang Dan;Luo Yue(Army Medical University of PLA,Chongqing 400038 China)

机构地区：[1]中国人民解放军陆军军医大学 [2]川北医学院附属医院护士学校

出　　处：《护理研究》2018年第6期863-867,共5页Chinese Nursing Research

基　　金：2015年重庆市社会科学规划项目;编号:2015YBSH048

摘　　要：[目的]构建"整合照料"理念下的社区卫生服务中心托老科养老服务评价指标体系。[方法]基于前期文献、政策调研及半结构式访谈结果初步拟定"整合照料"理念下的社区卫生服务中心托老科养老服务评价指标体系,通过德尔菲法及层次分析法进行3轮专家函询确定指标内容及权重。[结果]最终确定该养老服务评价指标体系包括"整合照料"理念体现的全面性、对服务对象评估的科学性、对服务人员管理的规范性、服务内容提供的完善性、收费标准制定的合理性、对服务质量控制的规范性6个一级指标、17个二级指标及55个三级指标。一级指标中"对服务质量控制的规范性"权重最高(0.208),"收费标准制定的合理性"次之(0.207),"整合照料理念体现的全面性"最低(0.128)。[结论]该养老服务评价指标体系的构建可促进我国社区卫生服务中心托老科养老模式的规范化发展,也可为医养结合整合式养老服务评价标准的制定提供一定的借鉴与指导。Objective:To construct evaluation indicator system of pension services in geriatric department in community health service center under the concept of“integrated care”.Methods:Based on previous literatures,policy research and semi structured interviews,the evaluation index system for elder care services in community health centers under the concept of“integrated care”was preliminarily established.Three rounds of expert interviews were conducted with Delphi method and AHP to determine the index contents and weight.Results:Finally,the evaluation index system of the pension service included the comprehensiveness of the concept of integrated care,the scientific evaluation of the service object,the standardization of the service personnel management,the improvement of the service content and the rationality of the charging standard formulation,and standardization of quality of service control’totally 6 first level indicators,17 second level indicators and 55 third level indicators.In the first level indicators,standardization of quality of service control had the highest weight(0.208),the rationality of charging standards was the second(0.207),and comprehensiveness of integrated care concept was the lowest(0.128).Conclusions:The construction of evaluation index system of pension service can promote the standardized development of pension model of community health service center in China,and also provide some references and guidances for the formulation of the evaluation standard of integrated pension service.

关 键 词：整合照料 社区卫生服务 养老 评价指标 德尔菲法 医养结合 

分 类 号：R473.2[医药卫生—护理学]