Abstract
Objective: The purpose is to pinpoint the problems during home
care practice and identify the points and critical links of service
quality control. Method: The qualitative field research was
adopted. The three-month participatory observation was
implemented to the home care practices performed by three
community health service centers in Shanghai. Then the collected
materials, including the field notes of nearly 100 thousand word
count and pictures and images, have been sorted and analyzed.
Result: The key factors that affect home care quality and the
critical links of quality control have been identified, namely,
structure dimension, procedure dimension and result dimension,
among which, structure dimension includes system, personnel,
environment and equipment, etc., procedure dimension includes
health assessment, basic nursing, nursing manipulation, emergency
treatment, health education and instruction, psychological nursing,
hospice care and rehabilitation nursing, etc., and result dimension
includes patient outcomes and nursing personnel outcomes, etc.
Conclusion: This research unveils the true process of home care
service and the key factors that affect service quality, thus
providing firsthand information for the construction of a quality
control index system for home care and in accord with national
conditions.