基于公办与民办差异视角的养老机构医养结合服务质量评价研究
Quality Evaluation on Integrated Elderly Care and Medical Services Based on the Perspective of Differences between Public and Private Nursing Institutions
背景 近几年，关于我国医养结合服务模式、影响因素等的研究报道较多，但关于养老机构医养结合服务质量的研究报道较少，且缺乏对不同类型养老机构医养结合服务质量差异的比较研究。目的 评价公办与民办养老机构医养结合服务质量。方法 2020 年 10 月—2021 年 9 月，采用分层随机抽样方法在内蒙古包头市、陕西省西安市、湖北省宜昌市、浙江省绍兴市共 4 个地区进行问卷调查，共选取 25 家养老机构老年人 1 106 位。通过 SERVQUAL 模型构建包含可靠性、及时性、保障性、规范性、移情性 5 个维度和 15 项二级指标的医养结合服务质量评价指标体系，结合熵权法与模糊综合评价法分别计算公办、民办养老机构医养结合服务质量评分并进行比较。结果 公办、民办养老机构老年人对医养结合服务质量满意度综合评价值分别为 41.66、38.82 分，其中公办养老机构 15 项二级指标评分均在 40.00 分以上，民办养老机构 13 项二级指标评分在 40.00 分以下。结论 公办与民办养老机构老年人对医养结合服务质量满意度综合评价结果存在一定差异，其中规范性、移情性维度评分差异较大，可靠性、及时性、保障性维度评分差异较小，这为发现不同维度下医养结合服务存在的问题、促进养老机构医养结合养老服务高质量提供了参考。
Background There are various researches about the mode and influencing factors of the integrated elderly care and medical services in China in recent yearsbut researches about quality of integrated elderly care and medical services in nursing institutions are limitedespecially in the comparison of quality of integrated elderly care and medical services in difference types of institutions. Objective To evaluate the quality of integrated elderly care and medical services between public and private nursing institutions.?Methods A total of 1 106 older adults from 25 nursing institutions in BaotouXi'anYichang and Shaoxing were selected by stratified random sampling method from October 2020 to September 2021 to conduct questionnaire survey. The SERVQUAL model was used to construct the Evaluation Index System of Integrated Elderly Care and Medical Services Qualityinvolving 5 dimensions of reliabilitytimelinesssupportabilitynormativity and empathy and 15 secondary indexesentropy weight method and fuzzy comprehensive evaluation method were used to calculate and compare the service quality scores of integrated elderly care and medical services between public and private nursing institutions. Results The comprehensive evaluation score of integrated elderly care and medical services quality was 41.66 and 38.82 in public and private nursing institutionsrespectivelyamong which the scores of the 15 secondary indexes were all above 40.00 in public institutions and the scores of 13 secondary indexes were below 40.00 in private institutions. Conclusion There is certain difference in the comprehensive evaluation results of satisfaction on the quality of integrated elderly care and medical services between public and private nursing institutionsamong which the differences in the scores of normativity and empathy are higherwhile the differences in the scores of reliabilitytimeliness and supportability are lowerproviding a reference for identifying the problems in integrated elderly care and medical services and promoting its high-quality development in nursing institutions.
张园、董晶晶、连楠楠、刘云
10.12114/j.issn.1007-9572.2023.0153
医药卫生理论
卫生保健质量，获取和评价卫生保健差异卫生系统机构医养结合服务公办机构民办机构卫生设施，私立SERVQUAL 模型熵权法
Health care quality，access，and evaluationHealthcare disparitiesHealth systems agenciesIntegrated elderly care and medical servicesPublic institutionsPrivate institutionsHealth facilities，proprietarySERVQUAL modelEntropy weight method
张园,董晶晶,连楠楠,刘云.基于公办与民办差异视角的养老机构医养结合服务质量评价研究[EB/OL].(2023-08-30)[2025-08-05].https://chinaxiv.org/abs/202309.00006.点此复制
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