Development of andersen model based index system for evaluating the effectiveness of community health management services for the elderly
10.3760/cma.j.issn.1674-0815.2017.03.005
- VernacularTitle:基于安德森模型的社区老年人健康管理服务效果评价指标体系构建研究
- Author:
Jing LIU
;
Yu ZENG
;
Qiming HEI
- Keywords:
Elderly;
Community health services;
Evaluation studies
- From:
Chinese Journal of Health Management
2017;11(3):222-227
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an evaluation index system of health management services for the elderly with the perspective of combining medical service and long term care, and laying the foundation for the field assessment. Methods Using Delphy expert consultation method to improve Andersen health service utilization model. Excel was used for data input, SPSS 22.0 statistical software was used for analyzing the data from the expert consultation questionnaire to determine the importance and feasibility of the scores including mean, standard deviation and coefficient of variation. Constituent ratio analysis was done for expert positive coefficient, and the expert authority coefficient and coordination coefficient were analyzed by chi square test. The indicator's weight was calculated by using average method and multiplicative cumulative combination weighting. Results We constructed the framework for evaluating the effectiveness of health management service for the elderly in the community, the evaluation index system of the community health service was established. The system included 4 first level indicators, 12 second level indicators, 35 third level indicators, each index had a corresponding weight. Conclusions The evaluation index system is an effective way to assess health management service, selection of the indexes should be consistent with the connotation and characteristics of elderly health management under new aging care policy. Further empirical investigation is needed to modify the index system in order to provide decision-making basis for improving and regulating health management services for the elderly.
