医养结合机构失能老人服务供需匹配问卷的研制

Development of matching service with supply and demand questionnaire for the disabled elderly in medical-nursing combined institutions

目的编制医养结合机构失能老人服务供需匹配问卷。方法于2019年4—5月,在文献研究、半结构访谈和专家咨询的基础上拟定问卷初稿,通过德尔菲法对14名专家进行2轮函询。根据专家函询结果对问卷进行修改和完善,形成最终版问卷。计算专家积极系数、专家权威系数、专家意见集中程度、专家意见协调系数。结果2轮专家函询问卷的有效回收率分别为93.3%和100.0%,专家权威系数为0.92。第2轮函询中,维度及条目的专家意见协调系数分别为0.638和0.407(P<0.001),变异系数均<20%。最终确立的医养结合机构失能老人服务供需匹配问卷包括5个维度,30个条目。结论医养结合机构失能老人服务供需匹配问卷的科学性和可靠性较好,内容全面,可作为有利的调查工具进行失能老人服务供需匹配研究,为制订医养结合照护服务供给方案提供参考依据。

Objective To develop a matching service with supply and demand questionnaire for the disabled elderly in medical-nursing combined institutions.Methods From April to May 2019,the first draft of questionnaire was designed based on literature review,semi-structured interview and expert consultation.Two rounds of expert consultation by 14 experts were carried out with the Delphi method.The questionnaire was revised and perfected according to results of expert consultation to form the final version of questionnaire.We calculated the expert active coefficient,expert authority coefficient,concentration and coordination coefficient of expert opinion.Results Around two rounds of expert consultation,the valid recovery rates of questionnaire were 93.3%and 100.0%with 0.92 for the expert authority coefficient.In the second expert consultation,coordination coefficients of expert opinion of dimension and item were 0.638 and 0.407 respectively with statistical differences(P<0.001)and with<20%for all the coefficients of variation.The final version of the matching service with supply and demand questionnaire for the disabled elder in medical-nursing combined institutions included 5 dimensions and 30 items.Conclusions The matching service with supply and demand questionnaire for the disabled elderly in medical-nursing combined institutions has the high level of scientific nature,reliability and all-round content.The questionnaire can be used to researches on matching service with supply and demand questionnaire for the disabled elder as a beneficial investigation tool and can provide a reference for formulating a supply and demand plan of medical and nursing combined care service.