文献类型：期刊文献

英文题名：Development of Patient-Centered End-of-Life Care Quality Measures in China: A Modified Delphi Process

作者：Li, Lumeng[1];Gong, Xiuquan[1]

机构：[1]East China Univ Sci & Technol, Sch Social & Publ Adm, Shanghai, Peoples R China

年份：2025

卷号：40

期号：3

起止页码：246

外文期刊名：JOURNAL OF PALLIATIVE CARE

收录：;WOS:【SSCI(收录号:WOS:001373434700001)，SCI-EXPANDED(收录号:WOS:001373434700001)】；

语种：英文

外文关键词：end-of-life care; patient-centered; quality measurement; Delphi method; China; patient-reported

摘要：Objective: Patient-centered care is widely recognized as a crucial component of high-quality end-of-life care. As this approach remains limited in China, this study sought to develop quality measures specifically tailored to end-of-life care within the country. Methods: Initial indicators were established through a comprehensive review of existing measures. Using the modified Delphi Method, a two-round survey with experts (n = 14) was applied to evaluate the importance of each item. Results: The authoritative coefficient of two rounds of expert consultation was 0.86 and 0.87, and the Kendall coefficient of concordance for the two rounds was 0.232 and 0.270 (P < 0.001), respectively, demonstrating an acceptable consensus among the experts. As a result, 31 key quality indicators were identified and deemed important. Conclusions: This study developed a scale for patient-centered end-of-life care quality measurement in China, consisting of six dimensions and 31 indicators. This scale lays a solid foundation for quality improvement initiatives and future development of patient-centered end-of-life care.