Construction of quality assessment index system of infection prevention and control in integrated medical and elderly care facilities
10.3760/cma.j.cn112150-20241125-00946
- VernacularTitle:医养结合养老机构感染防控质量评价指标体系的构建
- Author:
Ziyu QIAN
1
;
Junhua FAN
;
Yuqing YAO
;
Xiaofan JI
;
Yibin ZHOU
;
Zhiyong LIU
;
Renyi ZHU
;
Songzhe TANG
Author Information
1. 上海市徐汇区疾病预防控制中心（上海市徐汇区卫生健康监督所）应急办，上海200237
- Publication Type:Journal Article
- Keywords:
Infection control;
Integrated medical and elderly care;
Nursing homes;
Delphi method;
Evaluation indicator system
- From:
Chinese Journal of Preventive Medicine
2025;59(6):933-941
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a quality assessment index system for infection prevention and control in integrated medical and elderly care facilities, providing methods for assessing infection control quality and a theoretical basis for enhancing infection prevention and control capabilities.Methods:This study initially constructed a framework for the quality evaluation index system through literature reviews, work specifications and standards and expert interviews. The Delphi method was employed to conduct two rounds of consultations with 19 experts to evaluate the necessity, feasibility, stability, and sensitivity of the indicators. The expert′s active coefficient, authority coefficient, degree of consensus, and coordination were statistically analyzed. The indicators were revised based on expert opinions to finalize the evaluation index system. The weights of the evaluation dimensions were determined using the Analytic Hierarchy Process (AHP), while the weights of the indicators were determined using the proportional allocation method. Reliability was assessed via Cronbach′s α coefficient, and content validity was verified through the Content Validity Index ( CVI). Results:After two rounds of expert consultation, the expert positive coefficient, expert authority coefficient ( Cr) and expert coordination coefficient Kendall′s W was 100%, 0.992 and 0.634 ( P<0.001), indicating high expert authority, good concentration and coordination of opinions. The assessment index system for infection prevention and control quality in integrated medical and elderly care facilities was ultimately constructed, comprising three primary indicators, 18 secondary indicators and 68 tertiary indicators. Among the primary indicators, the process quality had the highest weight of 0.338. Within the process quality, the secondary indicators with the highest weights were infection control material allocation, hand hygiene quality and the management of cluster outbreaks. A total of 11 unique evaluation indicators for integrated medical and elderly care facilities were established, with the highest weighted indicator being the rate of standardized surveillance of infection-related risk factors. Reliability and validity analyses demonstrated that the overall Cronbach′s α coefficient of the system was 0.991, and the Scale-level Content Validity Index was 0.936, confirming good reliability and validity. Conclusion:The evaluation index system constructed in this study can serve as an effective assessment tool for the quantitative evaluation of infection control quality in integrated medical and elderly care facilities. Furthermore, it is recommended that the system undergo continuous optimization concerning its application.
