Study on the construction of admission evaluation indicators for terminal patients in community hospice wards
10.3760/cma.j.cn114798-20250629-00818
- VernacularTitle:社区安宁病房疾病终末期患者准入评估指标的构建研究
- Author:
Huichao ZHENG
1
;
Ying YU
;
Xiaopan LI
;
Ming LIU
;
Yuezhong TANG
;
Zhijie YU
;
Qiong ZHU
;
Sunfang JIANG
Author Information
1. 复旦大学附属中山医院全科医学科，上海 200032
- Publication Type:Journal Article
- Keywords:
Community health centers;
Hospice care;
Terminal patient;
Admission evaluation;
Delphi technique
- From:
Chinese Journal of General Practitioners
2025;24(9):1106-1113
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a set of admission evaluation indicators for terminal patients in community hospice wards.Methods:This qualitative study employed a mixed-methods approach. From January to June 2023, 10 physicians working in community hospice wards in Shanghai participated in one-on-one, semi-structured, in-depth interviews. Based on the interview findings and literature review, a preliminary set of admission evaluation indicators was drafted. Subsequently, from July to December 2023, 18 national experts in hospice/palliative care were selected for a two-round Delphi expert consultation to refine the indicators. The final indicator system was established based on the consultation results, and the weight coefficients for each indicator were determined.Results:Sixteen experts completed both rounds of consultation. The experts had a mean age of (52.0±8.3) years and a mean working experience of (14.4±6.8) years. The response rates for the two rounds were 88.9% and 100.0%, respectively. The authority coefficients were 0.875 and 0.894, and the Kendall′s W coordination coefficients were 0.338 (χ2=471.737, P<0.001) and 0.349 (χ2=398.230, P<0.001), respectively. After two rounds of Delphi consultation, a final admission evaluation indicator system was established, comprising 4 first-level indicators and 63 second-level indicators. The first-level indicators and their weight coefficients were: Underlying Disease (0.256 7), Survival Prognosis (0.256 7), Holistic Needs (0.256 6), and Social Environment (0.240 0). Conclusion:The admission evaluation indicator system for terminal patients in community hospice wards developed in this study facilitates the standardized development of community hospice/palliative care services and contributes to providing high-quality care for patients and their families.
