摘要
目的以结构-过程-结果模型为指导,从结构、过程和结果3个维度,构建医养结合服务质量评价的指标体系。方法2023年8月至11月收集资料,以文献研究和相关政策解释为基础,结合2次专家咨询的意见建立指标体系。通过优序图法,确定各指标权重。采用肯德尔协调系数评价专家意见一致性,采用Cronbach’sα系数检验指标体系信度。结果2轮函询的专家积极系数均为100.0%。专家权威系数为0.83。第1、2轮专家咨询的肯德尔协调系数分别为0.344、0.350(P<0.001)。构建指标体系包括一级指标8个、二级指标24个、三级指标76个。服务结构质量指标、服务过程质量指标和服务结果质量指标的Cronbach’sα系数分别为0.837、0.829和0.820。结论本研究专家意见一致性较好,构建的指标体系可靠,为养老机构服务质量的持续改进提供一定的理论参考和借鉴。
Objective To establish index system of service quality evaluation in combination of medical care and elderly care guided by structure-process-outcome model,from three dimensions of structure,process and outcome.Methods Data were collected from August to November 2023,index system was established based on literature research and relevant policy explanations,combined with opinions of the two expert consultations.The weights of each index were determined by using priority chart method.Consensus of expert opinions were evaluated by using Kendall’s coordination coefficient,and the reliability of index system was tested by using Cronbach’sαcoefficient.Results Positive coefficient of experts in the two rounds of correspondence was 100.0%.The expert authority coefficient was 0.83.Kendall’s coordination coefficients for the first and second rounds of expert consultation were 0.344 and 0.350,respectively(P<0.001).The construction of index system included eighet primary indexes,24 secondary indexes,and 76 tertiary indexes.Cronbach’sαcoefficients for service structure quality indexes,service process quality indexes,and service result quality indexes were 0.837,0.829,0.820,respectively.Conclusion The consensus of expert opinions in this study is good,and the constructed index system is reliable,and provide a certain theoretical reference and inspiration for continuous improvement of service quality in elderly care institutions.
作者
高凯歌
徐月贞
GAO Kaige;XU Yuezhen(College of Nursing,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830017,China;Xinjiang Regional Population Disease and Health Care Research Center,the Xinjiang Uygur Autonomous Region,Xinjiang Uygur Autonomous Region,Urumqi 830000,China)
出处
《中国医药导报》
CAS
2024年第23期34-38,共5页
China Medical Herald
基金
新疆维吾尔自治区社会科学基金项目(21BRK116)
新疆医科大学大学生创新创业训练计划项目(X202310760071)。
关键词
养老机构
医养结合
服务质量评价
结构-过程-结果模型
Elderly care institutions
Combination of medical care and elderly care
Service quality evaluation
Structure-process-outcome model
