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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.
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Objective:The objective of this study is to construct the evaluation indicator system of family doc-tors contracted service,to evaluate the main current family doctor contracted service in China from different aspects of health services. Methods:literature research method,field survey method and expert consultation method were used for the preliminary screening of the evaluation indicator; after consultation with Delphi experts to conduct a primary health care service management,using statistical analysis was used to build a family doctor evaluation indicator sys-tem. Results:The results show that the evaluation indicator system of family doctors contracted service was deter-mined,and consists of three first-level indicators,which were respectively preparatory,procedural and outcome eval-uation indicators;eight secondary indicators,which mainly include human resources input,basic medical treatment, basic public health,service efficiency and satisfaction and so on;and thirty-nine tertiary indicators,such as the num-ber of doctors per 10,000 population,the rate of first diagnosis,the rate of medical malpractice and the incidence of medical disputes of contracted residents,etc. Conclusions:The indicator system constructed in this study is sensitive and feasible,and it can comprehensively evaluate the work of family doctor contract,and provides a reference for the management,assessment and evaluation of family doctor contract service.
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Objective To establish a reasonable and practical evaluation indicator system for health promoting hospital. Methods According to the importance recognized by the experts,two round Delphi consultation was conducted to set up the indicator system of health promoting.Results A total of 20 experts participated in this study,with the average age of 42.75 ±5.20 years.The average years of work was 15.15 ±6.85 years.All of experts had bachelor degree and above,and 80.00% had senior technical titles.Questionnaire response rates of two round Delphi consultation were both 100.00%. The average coefficients of experts'authorities (Cr)was 0.93 ±0.10.There was statistically difference between the Kendall coefficients of two round consultations (P <0.05).The evaluation indicator system was finally established including 5 first-class indexes (organization construction, environment construction, patient health education, employee health promotion,and out -hospital health education),14 second -class indexes and 25 third -class indexes.The average scores of important degree among each index involved was 4.30 -5.00,with standard deviation 0.00 -0.83,and the coefficient of variation was 0.000 - 0.182,which met the design requirements.Conclusion The Delphi expert consultation method in this study have good representative,authoritative and coordination.