老年人居家长期照护服务项目体系构建及风险评价
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女,硕士在读,护士

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The contents and risk evaluation of homebased longterm care service for the elderly
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    目的 探讨老年人居家长期照护服务项目体系及其风险水平。方法 通过文献回顾、质性访谈拟定老年人居家长期照护服务 项目体系草案,采用德尔菲专家咨询法对其进行修订,并对各个项目的风险水平进行初步评价。结果 3轮专家咨询有效回收率 分别为94.44%、100%、100%,专家权威系数分别为0.895、0.907、0.885,肯德尔和谐系数为0.404~0.519(P<0.05)。最终确 定的服务项目体系包含4项一级指标、13项二级指标、57项三级指标;4项一级指标下的项目风险等级评分分别为1.47~3.56、 1.88~3.35、2.94~3.18、1.94~4.71。结论 老年人居家长期照护服务项目体系的内容和风险水平咨询可靠,可为长期照护保险 制度的建设提供参考。

    Abstract:

    Objective To identify the contents and risk of homebased longterm care service for the elderly. Methods The contents of homebased longterm care service for the elderly were drafted after literature review and qualitative interview. Then expert consultation was conducted to revise the draft and evaluate the risk level using the Delphi process. Results The response rates of 3 rounds of expert consultation were 94.44%, 100% and 100% respectively. The authority coefficients of expert were 0.895,0.907 and 0.885 respectively; and the Kendall coefficients ranged from 0.404 to 0.519 (P<0.05). The contents of homebased longterm care for the elderly consisted of 4 primary indicators, 13 secondary indicators and 57 tertiary indicators. The risk scores of items within the 4 primary indicators were 1.47-3.56,1.88-3.35, 2.94-3.18 and 1.94-4.71, respectively. Conclusion The contents and risk scoring level of the homebased longterm care service for the elderly are reliable, which can provide reference for development of longterm care insurance system.

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饶东,张玲娟,陈文瑶,翁艳秋,钱晓春.老年人居家长期照护服务项目体系构建及风险评价[J].护理学杂志,2019,34(4):85-89

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  • 收稿日期:2018-09-10
  • 最后修改日期:2018-10-15
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  • 在线发布日期: 2022-08-08