关键词: 慢性肾脏病；个案管理师；工作职责；指标体系

Abstract: Objective: To construct the responsibility index system of case manager in chronic kidney diseases. Methods: The first draft of the responsibility index system was drawn up by literature review and semi-structured interview. Delphi method was used to evaluate the draft. Totally 20 experts in the field of chronic kidney diseases and chronic care management from nursing colleges and the third Grade A hospitals were selected and two rounds of consultation were conducted. Results: The final responsibility index system of case manager in chronic kidney diseases included 6 first-level indexes (assessment, planning of care, consultation &education, coordination, evaluation and research), 15 second-level indexes and 48 third-level indexes. The positive coefficients and authority coefficients for 2 rounds of consultation were 100% and 0.860 respectively. Conclusion: Expert opinions on the responsibility index system of case manager in chronic kidney diseases were concentrated and the results are logical and reliable. It can be used as reference for appointment and evaluation of the case manager in chronic kidney diseases.

Key words: chronic kidney diseases; case manager; responsibility; index system