背景:老年评估(GA)是一个破坏初级卫生保健(PHC)转诊系统的多维过程。获取一致的数据对于跨多个医疗机构提供综合老年护理至关重要。然而,由于GA的数据和文档质量差,需要开发商定的最小数据集(MDS)。因此,这项研究旨在开发PHC转诊系统中的GA-MDS,以提高数据质量,数据交换,以及持续的护理,以解决老年人多方面的需求。
方法:在我们的研究中,GA-MDS中包含的项目分三步确定.首先,进行了探索性文献检索以确定相关项目.然后,我们使用了两轮Delphi调查来获得关于GA-MDS中包含的项目的一致观点.最后,评估GA-MDS含量的有效性。
结果:来自不同健康老年护理学科的60名专家对数据项进行了评分。之后,Delphi阶段来自230个选定项目,通过计算内容效度指数(CVI)删除了35个项目,内容效度比(CVR),和其他统计指标。最后,GA-MDS编制了195个项目和四个部分,包括行政数据,临床,生理,和心理评估。
结论:GA-MDS的发展可以作为一个平台,告知老年转诊系统,标准化GA流程,并简化他们对专业护理水平的转诊。我们希望GA-MDS支持临床医生,研究人员,和政策制定者通过提供汇总数据来告知医疗实践并增强以患者为中心的结果。
BACKGROUND: Geriatric assessment (GA) is a multidimensional process that disrupts the primary health care (PHC) referral system. Accessing consistent data is central to the provision of integrated geriatric care across multiple healthcare settings. However, due to poor-quality data and documentation of GA, developing an agreed minimum data set (MDS) is required. Therefore, this study aimed to develop a GA-MDS in the PHC referral system to improve data quality, data exchange, and continuum of care to address the multifaceted necessities of older people.
METHODS: In our study, the items to be included within GA-MDS were determined in a three-stepwise process. First, an exploratory literature search was done to determine the related items. Then, we used a two-round Delphi survey to obtain an agreement view on items to be contained within GA-MDS. Finally, the validity of the GA-MDS content was evaluated.
RESULTS: Sixty specialists from different health geriatric care disciplines scored data items. After, the Delphi phase from the 230 selected items, 35 items were removed by calculating the content validity index (CVI), content validity ratio (CVR), and other statistical measures. Finally, GA-MDS was prepared with 195 items and four sections including administrative data, clinical, physiological, and psychological assessments.
CONCLUSIONS: The development of GA-MDS can serve as a platform to inform the geriatric referral system, standardize the GA process, and streamline their referral to specialized levels of care. We hope GA-MDS supports clinicians, researchers, and policymakers by providing aggregated data to inform medical practice and enhance patient-centered outcomes.