Health Policy and Systems
Juping Liang, MS
physical therapist
Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai, China (People's Republic)
Drawing upon healthcare quality management theory and performance evaluation principles, and referencing national policies and international literature, we developed a preliminary evaluation framework comprising three primary indicators—Rehabilitation Service Structure, Rehabilitation Service Process, and Rehabilitation Service Outcomes—and 88 secondary indicators.Ten experts in rehabilitation healthcare services and health management were selected using purposive sampling. Through two rounds of Delphi expert consultation and applying indicator screening criteria, indicators were refined and adjusted. The Analytic Hierarchy Process was ultimately employed to determine the weights of each indicator level and verify logical consistency.
Results: Both rounds achieved 100% valid questionnaire return rates, with an expert authority coefficient of 0.907 (＞0.7).The Kendall's W correlation coefficients for expert opinion alignment were 0.186 (χ²=113.02, P< 0.05) and 0.281 (χ²=123.32, P< 0.05) for the first and second rounds, respectively. Indicator coefficients of variation ranged from 0 to 0.37.The final evaluation framework comprises 3 primary indicators and 37 secondary indicators: Rehabilitation Service Structure (weight: 0.540), Rehabilitation Service Process (weight: 0.297), and Rehabilitation Service Outcomes (weight: 0.163).The consistency ratio (CR value) for all levels of indicators was < 0.1000, indicating acceptable consistency of the judgment matrix.
Conclusion:
The evaluation indicator system for the hospital-community-home three-tiered rehabilitation service model constructed in this study demonstrates high reliability, scientific rigor, and rationality. It can be used for the comprehensive evaluation of this type of rehabilitation service model.
