Constructing the medical insurance version of the Long's scale using the Delphi method:A research study
10.3969/j.issn.1001-1242.2025.11.005
- VernacularTitle:基于Delphi法构建医保版龙氏量表的研究
- Author:
Liuyang ZHAO
1
;
Jiao LUO
;
Mingchao ZHOU
Author Information
1. 山东中医药大学,山东省 济南市,250355
- Publication Type:Journal Article
- Keywords:
Long's scale;
rehabilitation health insurance;
functional rehabilitation;
value-based care
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(11):1637-1644
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To transform the categorical Long's Activities of Daily Living Assessment Scale(referred to as the Long's Scale)into a medical insurance version(continuous scoring)by assigning scores,enabling a more intu-itive reflection of functional changes in individuals with disabilities during the rehabilitation process.Method:The research team,through in-depth discussions and comprehensive literature review,revised the scoring and assessment methods of the Long's Scale(0 points,1 point,2 points),and proposed two im-proved scoring schemes for the Long's Scale(+7 points,+9 points).The Delphi expert consultation method was employed to consult experts and determine the Medical Insurance Long's Scale.Retrospective analysis was used to validate the reliability and validity of this scale.Result:A total of 24 experts were invited to participate in the consultation,with an expert consultation re-sponse rate of 87.5%(21/24).The average authority coefficient of the experts was 0.836,with 66.7%(14/21)of experts supporting the+7 points improved scoring scheme for the Long's scale.The Medical Insurance Long's Scale demonstrated good internal consistency and correlation with the modified Barthel index(MBI),consistent with the initial Long's Scale,demonstrating showing excellent reliability and validity.Conclusion:The+7 points scoring scheme in this study transformed the Long's Scale into a continuous scor-ing scale,enabling the measurement of functional improvement,thereby providing a new basis for value-based medical insurance payments in rehabilitation.
