Zhongguo quanke yixue (Jun 2024)
Research on the Construction of Performance Evaluation Index System for Community Embedded Integrated Medical and Nursing Care Service with Characteristics of Traditional Chinese Medicine
Abstract
Background Faced with the increasingly severe trend of population aging and the threat of non communicable chronic diseases, China actively guides and promotes the development of community embedded integrated medical and nursing care service with characteristics of traditional Chinese medicine (TCM). However, there are limited studies on performance evaluation in this field in the existing literature. The construction of a set of scientific and effective performance evaluation index system for community embedded integrated medical and nursing care service with characteristics of TCM has important theoretical significance and practical value. Objective To construct a performance evaluation index system for community embedded integrated medical and nursing care service with characteristics of TCM, determine the weights for indicators of each level, so as to provide reference for the formulation of relevant policies and the performance evaluation of community embedded integrated medical and nursing care service with characteristics of TCM. Methods From September to October 2022, a two-dimensional theoretical framework of "embedded-performance" for the community embedded integrated medical and nursing care service with characteristics of TCM was established through literature research and based on the embeddedness theory and the structure-process-outcome theoretical model. From October to November 2022, an index system was constructed based on the two-dimensional theoretical framework of "embedded-performance", with methods of literature research, Delphi method, and field investigation. In December 2022, the analytic hierarchy process was applied to determine the weight coefficients and test the logical consistency of indicators at all levels. Results A performance evaluation index system for community embedded integrated medical and nursing care service with characteristics of TCM, containing 2 dimensions of embeddedness and embedded performance, 6 primary indicators, 19 secondary indicators, and 45 tertiary indicators was constructed. The primary indicators with the highest weight were A5 (service process) and A6 (service outcome), while the secondary and tertiary indicators with the highest combined weight were B17 (service output), B19 (service satisfaction), and C44 (elderly satisfaction). All judgment matrices have passed the consistency test with CR<0.1. Conclusion The two-dimensional theoretical framework of "embedded-performance" for community embedded integrated medical and nursing care with characteristics of TCM has strong applicability and feasibility. The performance evaluation index system constructed based on this theoretical framework has a high concentration of expert opinions, strong scientific, rationality, systematicness, hierarchy, and application value, which can provide reference for government departments to formulate relevant policies, and is an effective tool for conducting performance evaluation of community embedded integrated medical and nursing care service with characteristics of TCM.
Keywords
