关键词: 儿童；慢性病；延续性护理；质量指标；卫生保健

Abstract: Objective: To construct the quality evaluation index system for transitional care of pediatric patients with chronic diseases. Methods: Literature review and semi-structured interview were performed to form the initial quality indicators, the Donabedian structure-process-outcome quality of care model was used to organize those quality indicators to form the questionnaire for Delphi expert inquiry. Then two rounds of Delphi experts survey were performed to evaluate the importance and clarity of each indicators. At last, administrative experts from government, hospital, and patient family represents were gathered together to evaluate the comprehensibility of each indicator and the value of outcome indicators in socioeconomic areas to form the final evaluation index system. Results: 22 experts finished the expert inquiry. The effective recovery rate of the two rounds were 91.67% and 100.00%, respectively, expert authority coefficients were 0.866 and 0.877, Kendall coordination coefficient were 0.156 and 0.176 (P<0.01). Expert demonstrated and adjusted the indicators one by one. The final evaluation index system for transitional care quality of pediatric including 3 first-level indicators, 12 secondary-level indicators and 56 third-level indicators. Conclusion: The evaluation index system for transitional care quality of pediatric is a scientific, comprehensive and practical evaluation tool.

Key words: child; chronic disease; transitional care; quality indicators; health care