摘要
目的 以上海市普陀区长期护理保险发展为背景,通过长期护理保险护理站居家护理服务质量评价指标的构建,为提高该区域居家护理服务质量提供参考依据。方法 以结构-过程-结果为理论框架,结合文献回顾及质性访谈初步拟定评价指标,通过两轮德尔菲专家咨询,构建长期护理保险护理站居家护理服务质量评价指标。结果 两轮专家咨询问卷的有效回收率均为100%,专家个人权威程度0.755~0.955,最后形成的长期护理保险护理站居家护理服务质量评价指标包括3个一级维度、10二级维度和34个三级条目;肯德尔和谐系数(W)由第一轮0.234上升至0.271(均P<0.01)。结论 长期护理保险护理站居家护理服务质量评价指标符合上海市普陀区长期护理保险发展趋势,具有一定的科学性、可靠性。
Objective Based on the development of long-term care insurance in Putuo District, Shanghai, to provide reference for improving the quality of home nursing service in this area through the construction of evaluation indicators for home nursing service quality of long-term care insurance nursing stations. Methods Based on the theoretical framework of structure-process-result, combined with literature review and qualitative interview, evaluation indicators were initially formulated. Through two rounds of Delphi expert consultations the evaluation indicators of home nursing service quality of long-term care insurance nursing stations were constructed. Results The effective recovery rates of the two rounds of expert consultation questionnaires were both 100%, and the degree of authority of the experts was 0.755-0.955. The final evaluation indicators of home nursing service quality of nursing stations provided by long-term care insurance included 3 first-level dimensions, 10 second-level dimensions, and 34 third-level items.The Kendall concordance coefficient(W) increased from 0.234 in the first round to 0.271 in the second round(both P<0.01). Conclusion The evaluation indicators of home nursing service quality of long-term care insurance nursing stations conform to the development trend of long-term nursing insurance in Putuo District, Shanghai, and are scientific and reliable.
作者
沈敏
徐晓敏
刘小青
孟文君
高燕
周烨
SHEN Min;XU Xiaomin;LIU Xiaoqing;MENG Wenjun;GAO Yan;ZHOU Ye(Department of Nursing Administration,Shanghai Putuo District People’s Hospital,Shanghai 200060,China;Department of Nephrology and Cardiovasology,Shanghai Wusong Central Hospital,Shanghai 200940,China;Department of Urology and Andrology,Shanghai Pudong New Area Gongli Hospital,Shanghai 200135,China;Department of Oral Surgery,Shanghai Xuhui District Dental Center,Shanghai 200031,China)
出处
《外科研究与新技术》
2022年第4期290-296,共7页
Surgical Research and New Technique
基金
上海市卫生和计划生育委员会科研课题(201840072)。
关键词
长期护理保险
护理站
居家护理
服务质量
评价指标
Long-term care insurance
Nursing station
Home care
Service quality
Evaluation indicator
