智慧健康养老服务使用意愿影响因素的评价指标体系构建  

Construction of Evaluation Index System of Influencing Factors of Use Intention of Smart Health Elderly Care Service

作　　者：张耀 许佳佳 高凌 石宇平 ZHANG Yao;XU Jiajia;GAO Ling;Shi Yuping(School of Nursing,Shanxi University of Chinese Medicine,Jinzhong 030619,Shanxi,China;Nursing Department of Jinzhong Health School,Jinzhong 030600,Shanxi,China;Comprehensive Medical Department of Shanxi Bethune Hospital,Taiyuan 030032,Shanxi,China;School of Nursing,Shanxi Medical University,Taiyuan 030000,Shanxi,China)

机构地区：[1]山西中医药大学护理学院,山西晋中030619 [2]晋中市卫生学校护理部,山西晋中030600 [3]山西白求恩医院综合医疗科,山西太原030032 [4]山西医科大学护理学院,山西太原030000

出　　处：《医学信息》2025年第4期71-75,共5页Journal of Medical Information

基　　金：山西省科技战略专项(编号:202204031401029)。

摘　　要：目的构建顺应时代需求的智慧健康养老使用意愿影响因素评价指标体系,为进一步了解多方视角下(包括老年人、老年人家庭照护者等需求方、政府相关职能部门、医养结合机构等供给方)智慧健康养老使用意愿的影响因素,明确发展机制提供研究基础。方法以PEST分析模型为理论基础,通过文献检索、半结构式访谈、小组讨论初步确立了智慧健康养老服务使用意愿的影响因素评价指标体系的初始条目池,经过两轮德尔菲专家函询,对指标体系内容进行修改,运用专家意见的协调系数和变异系数对指标内容进行分析。结果两轮专家函询的有效问卷回收率分别是100.00%、95.00%;专家权威系数(Cr)分别为0.863、0.858;智慧健康养老使用意愿影响因素指标体系专家意见的协调系数分别为0.200(?字2=96.114,P<0.001)、0.227(?字2=94.805,P<0.001);专家意见的变异系数分别为0.000~0.281、0.000~0.192。专家对本研究的协调性较好,对各指标内容的判断一致,最终确定一级指标4个,二级指标19个。结论智慧健康养老服务使用意愿影响因素评价指标体系结构合理、内容全面、顺应时代发展,为研制调查智慧健康养老服务使用意愿影响因素工具提供科学依据。Objective To construct an evaluation index system for the influencing factors of the willingness to use smart health care for the aged that meets the needs of the times,and to further understand the influencing factors of the willingness to use smart health care for the aged from multiple perspectives(including the demand side such as the elderly,the elderly family caregivers,the relevant functional departments of the government,and the supply side such as medical and nursing institutions),and to provide a research basis for clarifying the development mechanism.Methods Based on the PEST analysis model,the initial item pool of the evaluation index system of the influencing factors of the willingness to use smart health care services was preliminarily established through literature search,semi-structured interviews and group discussions.After two rounds of Delphi expert consultation,the content of the index system was modified,and the coordination coefficient and variation coefficient of expert opinions were used to analyze the content of the index.Results The effective questionnaire recovery rates of the two rounds of expert consultation were 100.00%and 95.00%,respectively.The expert authority coefficients(Cr)were 0.863 and 0.858,respectively.The coordination coefficients of expert opinions on the influencing factors of the willingness to use smart health care were 0.200(χ2=96.114,P<0.001)and 0.227(χ2=94.805,P<0.001).The coefficients of variation of expert opinions were 0.000-0.281 and 0.000-0.192,respectively.The experts had a good coordination of this study,and the judgment of the content of each index was consistent.Finally,4 first-level indicators and 19 second-level indicators were determined.Conclusion The evaluation index system of the influencing factors of the willingness to use smart health care services is reasonable in structure,comprehensive in content,and conforms to the development of the times.It provides a scientific basis for the development of tools to investigate the influencing factors of th

关 键 词：智慧健康养老 指标体系 影响因素 德尔菲法 

分 类 号：R197[医药卫生—卫生事业管理]