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目的以国务院下发的《关于推进医疗卫生与养老服务相结合的指导意见》和杭州市政府下发的《杭州市医养护一体化智慧医疗服务促进办法》为依据,根据居家老年人健康服务需求,制订杭州市家庭型医养护一体化服务内容。方法基于文献回顾、半结构访谈及专家会议构建服务内容初稿,采用德尔菲法对杭州市16名专家进行2轮咨询。结果专家咨询的权威系数为0.790,判断系数为0.906,熟悉系数为0.675,最终确定杭州市家庭型医养护一体化服务内容,包括一级指标8项,二级指标47项;指标协调系数分别为0.341、0.222、0.426,专家意见协调性有统计学意义(P<0.01)。结论杭州市家庭型医养护一体化服务内容经检验,专家意见集中,结果科学可靠,可为杭州市家庭型医养护一体化服务项目的制订提供依据。
Objective Based on the “Guiding Opinions on Combining Health Care with Elderly Care Services” promulgated by the State Council and the “Hangzhou Medical Care and Welfare Smart Welfare Services Promotion Method” issued by the Hangzhou Municipal Government, according to the demand of health service for the elderly at home , The development of Hangzhou family-based care and maintenance of integrated services. Methods The first draft of service content was constructed based on literature reviews, semi-structured interviews and expert meetings. The Delphi method was used to conduct two rounds of consultations among 16 experts in Hangzhou. Results The consultation coefficient of experts was 0.790, the coefficient of judgment was 0.906, and the familiarity coefficient was 0.675. Finally, the integrated service of family-based medical care in Hangzhou was established, including 8 first-level indicators and 47 second-level indicators. The coordination coefficients of indicators were 0.341,0.222,0.426, expert opinion coordination was statistically significant (P <0.01). Conclusion The integrated service of family-based medical care in Hangzhou has been tested and the opinions of experts are concentrated. The result is scientific and reliable, which can provide the basis for the formulation of integrated family-care services in Hangzhou.