Construction of a hospice care model for late-stage cancer patients in the hospital-community setting using the Delphi method
Objective To develop a hospice care model for late-stage cancer patients through hospital-community collaboration based on the discharge planning model,providing insights and recommendations for the development of cross-institutional hospice care.Methods From August to October 2023,an initial indicator sys-tem was constructed based on literature review and semi-structured interviews.The Delphi method was employed with 11 experts in two rounds of consultation to evaluate the indicators on a scale of 1 to 5 for importance and feasi-bility.Results Through two rounds of expert consultation,with a 100％response rate for both rounds,the expert judgment coefficient was 0.95,and the expert familiarity coefficient was 0.89.The final indicator system consisted of 7 primary indicators(e.g.,purpose of continuity of hospice care),28 secondary indicators(e.g.,comprehen-siveness,continuity),and 59 tertiary indicators(e.g.,stress relief,spiritual care,family support).Kendall's coefficients for two primary indicators in the first round of expert consultation were 0.068 and 0.098,while in the second round,they were 0.103 and 0.125.Conclusion The hospice care model constructed in this study is comprehensive and scientifically reliable.Developing a hospital-community collaborative hospice care model for late-stage cancer patients can help address issues such as unclear hospital-community functional positioning and lack of continuity in hospice care.
Hospice careDischarge planning modelLate-stage cancer patientHospital-community col-laborationDelphi methodInformation technology construction
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