The preliminary establishment of the index system for the comprehensive evaluation model of long term care for the elderly

Abstract

Objective To construct a comprehensive evaluation model of long-term care for the elderly based on the situation of our country, which is suitable for the family, community and the pension service organization. Methods The model index item pool (7 one class indexes and 133 two class indexes) formed by literature research, theoretical extraction and qualitative interview were taken as the research object. To screen the model parameters by using the Delphi method, then formed a index system of hierarchical comprehensive evaluation model of long term care for the elderly. Results 25 experts were from 10 provinces of a total of 23 Medical Colleges and affiliated hospital, positive coefficients for the first round of 83.33% and the second round of 100.00%, the average value of the two authority coefficients were both >0.90, the coordination coefficient of the evaluation index for the first round of 0.221 and the second round of 0.266 (both P<0.05). The primary model index system consists of 7 first level indicators, a total of 13 secondary indicators. Among them, the daily life ability, cognitive ability, falling risk and pressure sore risk evaluation were using very mature scales, the medical care project, abnormal performance/symptom and self care knowledge needs evaluation were independently established in this study. Conclusions Preliminary construction process of the index system for the comprehensive evaluation model of long term care for the elderly was rigorous and had better theoretical support, and the Delphi method experts had higher degree of attention and participate in the research content, experts had good representativeness, can effectively guarantee the reliability of the selected items. Key words: Aged; Long term care; Comprehensive evaluation; Index item pool