Development of the outcome evaluation index system for home care service of disabled elderly under the long-term care insurance in Guangzhou

长期护理保险 服务(商务) 德尔菲法 索引(排版) 制度化 一致性(知识库) 层次分析法 医学 精算学 长期护理 老年学 护理部 业务 统计 计算机科学 运筹学 人工智能 数学 营销 万维网 工程类 精神科
作者
Yixin Huang,Huihong Cen,Xiaofang Zou,Shuxian Su,Yan Li,Qingyun Lu
标识
DOI:10.3760/cma.j.issn.1672-7088.2019.33.015
摘要

Objective To develop the outcome evaluation index system for home care service of disabled elderly based on the long-term care insurance in Guangzhou. Methods Delphi method was used to develop the outcome evaluation index system for home care service of disabled elderly under the long-term care insurance in Guangzhou. The Analytic Hierarchy Process was used to determine the weights of all indexes. Results After two rounds of expert consultation, questionnaire response rates were 86.67%, 100%; expert authority coefficients were 0.843, 0.858; coefficients of variation ranged from 0.07 to 0.23 and 0.00 to 0.14; coordination coefficients ranged from 0.221 to 0.355 and 0.379 to 0.433 (P<0.01). The final index system consisted of 5 first-level indicators, 17 second-level indicators, and 59 third-level indicators. The analytic hierarchy process was used to determine the weights of all indexes, and the consistency test (CR<0.1) was performed. Conclusions The outcome evaluation index system for home care service of disabled elderly under the long-term care insurance in Guangzhou was scientific and reliable, the weights of all indexes were reasonable, which could provide reference for the designated service institution on evaluation and improvement of the effect of home care service of long-term care insurance for disabled elderly. Key words: Long-term care insurance; Disabled elderly people; Home care service; Outcome; Evaluation indicator system
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