Study on quality evaluation system of chronic disease management in nursing home based on DEMA-TEL-ANP

YE Liguang; ZHANG Ruiqiu; ZHANG Bei; ZHU Guodong

doi:10.3969/j.issn.2096-9058.2023.06.005

Abstract：Objective To construct the quality evaluation system of chronic disease management in pension institu-tions.Methods According to the relevant regulations and literature,combined with the structural process result model,the evaluation index system was preliminarily established.The index of the final evaluation system was determined accord-ing to the results of two rounds of Delphi expert consultation.The weight of each index was calculated by combining DEMA-TEL and ANP.Results Through two rounds of expert consultation,the quality evaluation system of chronic disease man-agement in elderly care institutions with 3 first-level indexes,10 second-level indexes and 30 third-level indexes was estab-lished.The results of DEMATEL method showed that the indicators with high centrality were C31 chronic disease manage-ment service satisfaction and C32 chronic disease management self-efficacy.The results of ANP method show that the indi-cators with high weight were"general practitioner allocation""chronic disease complication control level""chronic disease management self-efficacy"and other aspects.Conclusions A set of chronic disease management quality evaluation sys-tem for elderly care institutions has been successfully constructed,in which the allocation of general practitioners in elderly care institutions is a key indicator to evaluate the quality of chronic disease management in pension institutions.Mean-while,the process of chronic disease management should be centered on the elderly,and the self-efficacy of chronic dis-ease management of the elderly should be improved to improve the quality of chronic disease management.