我国现有对长期护理服务质量评价的理论研究和实证研究严重不足。为丰富相关研究,本文基于OECD的长期护理服务质量评价框架,对A市长期护理服务质量开展实证评价。研究发现：总体来看,机构护理服务质量高于居家护理服务质量。在有效性和安全性维度,居家护理服务的褥疮发生率和跌倒率高于机构护理服务。在以病人为中心和反应性维度,居家护理服务的生活控制力提高率、响应速度提高率、社交活动增多率、可支配时间增多率、生活环境变好率、感受支持增多率等指标均低于机构护理服务。为此,政府需采取多种措施,进一步提高居家护理服务质量,提升居家护理专业化水平,以弥补家庭照护短板,制定全国性的长期护理服务质量评价框架,从而实现长期护理服务质量的持续提高。

There is a serious lack of theoretical and empirical research on the quality evaluation of long-term care services in China. To enrich the relevant research, this paper conducted an empirical evaluation on the quality of long-term care services in A City based on the OECD's long-term care service quality evaluation framework. The study found that the quality of institutional nursing services was in general higher than that of home care services. In terms of effectiveness and safety, the incidence of pressure sores and the rate of falls in home care services were higher than those in institutional nursing services. In terms of the patient-centered and responsive dimensions, the improvement rates of life control, response speed, social activities, disposable time, living environment, and feeling of support in home care services are all lower than those in institutional nursing services. To this end, the government needs to take various measures to further improve the quality of home care services, enhance the professionalism of home care to compensate for the shortcomings of family caregiving, and establish a nationwide quality assessment framework for long-term care services, thereby achieving continuous improvement in long-term care service quality.