Abstract
[Background]: Improvement of synergies in medical and nursing services can help governments to optimize the allocation of medical resources; however, an appropriate evaluation method is critical for a suitable decision process in this regard. [Method]: To assess the medical and nursing service combination (MNSC) at a regional level, this study applied a five-dimension evaluation index composed of 28 basic response areas related to the MNSC development status in China, determining its respective weight through the Delphi and entropy methods. [Result]: This empirical exercise analyzed the MNSC supply system by interviewing nine heads of medical and nursing institutions and eleven healthcare-related government personnel during August of 2020 in Xinxiang City, Henan province, P.R China. Results showed: (1) public satisfaction with the fees charged by Medical and Nursing service Institutions (MNSI); (2) Medicare and supply services’ policy publicity; (3) the external financing situation of MNSI; (4) the medical staff’s professional quality; (5) the medical facilities and supply of MNSI; and (6) that the recognition level of the development plan of MNSI scored the highest effect on the synergy of MNSC supply among the assessed factors. [Conclusion]: These results showed that an evaluation based on the Delphi and entropy methods can effectively integrate the opinions of experts and related institutions to evaluate synergies on the medical and nursing service supply.
Highlights
Given the context of sustained population aging [1], providing appropriate healthcare support for the elderly is becoming increasingly challenging, especially because contradictions caused by the separation of medical care and nursing care are becoming increasingly prominent as the post-medical follow-up period is longer on senior ages, requiring sustained long-term professional care
Medical and Nursing Service Combination (MNSC) embodies the symbiotic relationship between medical care and healthcare within an elder care context; in other words, it refers to the integration of medical resources and eldercare resources
An evaluation index system that assesses the effects of the synergistic supply of medical and nursing services should allow for the integration of a theoretical basis with principles of scientific and reasonable evaluation index system construction, as well as the actual context and background of the MNSC development in China
Summary
Given the context of sustained population aging [1], providing appropriate healthcare support for the elderly is becoming increasingly challenging, especially because contradictions caused by the separation of medical care and nursing care are becoming increasingly prominent as the post-medical follow-up period is longer on senior ages, requiring sustained long-term professional care. The Medical and Nursing Service Combination (MNSC) can effectively integrate prevention and treatment with emphasis on healthcare sustainability for senior citizens, addressing one of the main challenges that healthcare sectors around the world are trying to solve [2]. Further articulation of the Government, capital, hospitals, eldercare institutions, patients, and other related actors are fundamental for synergy development and service improvements within MNSC [6]
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