Developing an admission assessment index system for hospice care in emergency patients
10.3760/cma.j.cn114798-20250301-00165
- VernacularTitle:急诊患者安宁疗护准入评估指标体系的构建
- Author:
Yanhong HUI
1
;
Xinqi ZHANG
;
Yu WU
;
Guodong XU
Author Information
1. 解放军联勤保障部队第九六〇医院急诊医学科，济南 250031
- Publication Type:Journal Article
- Keywords:
Emergency;
Hospice care;
Access;
Evaluation indicators;
Delphi technology
- From:
Chinese Journal of General Practitioners
2025;24(10):1261-1268
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop an admission assessment index system for hospice care tailored to emergency patients.Methods:Using a mixed-methods approach, a preliminary framework was established through literature review and qualitative interviews. From May to September 2024, a two-round Delphi consultation was conducted with 26 experts to screen and refine indicators. The final system was determined using a priority chart method for weight assignment.Results:Twenty-five experts in fields of emergency medicine, emergency nursing, palliative care nursing, palliative care medicine and general practice completed both consultation rounds. The experts ranged in age from 36 to 56 years and had 12 to 36 years of work experience. All held intermediate or higher professional titles. The effective recovery rates for the two rounds of consultation questionnaires were 96.15%(25/26) and 100.00%(25/25), respectively. Expert authority coefficients were 0.891 and 0.911, with Kendall′s coordination coefficients of 0.348 and 0.399 ( P<0.001), and variation coefficients ranging from 0.040 to 0.204 and 0.000 to 0.179. The finalized system comprises 5 primary indicators (weighted coefficients: life-limiting disease status 0.268, symptom control 0.236, patient/familywishes 0.201, social support needs 0.162, medical resource utilization 0.133) and 27 secondary indicators. Conclusion:The index system developed in this study provides a comprehensive and practical tool for identification of emergency patients requiring hospice care, facilitating timely clinical decision-making.
