In recent years, with the development of mobile medicine and telemedicine technology, health management models such as Internet hospitals, online and offline cooperation have gradually become a development trend. However, the elderly have limitations in the use of "Internet+" technology, which affects the mobile health of the elderly, and develops a remote management model based on family members, helping improve the coverage and efficiency of health management for the elderly.

To construct an "Internet+" family nursing management model for the elderly, focusing on the contracting problem of the elderly in the context of contracted family doctor services.

From June 2020 to February 2021, the "Internet+" family nursing management model for the elderly was preliminarily formulated according to the policies related to the health management of the elderly, combined with domestic and foreign literature research and preliminary basic research. Applying the Delphi method, 15 experts were selected for two rounds of expert consultation, forming the final draft of the "Internet+" family nursing management model for the elderly.

The positive coefficients of the two rounds of expert consultation were 100%, with the authority coefficients of 0.87 for both, and Kendall coordination coefficients of 0.253 and 0.226, respectively (P<0.001) . The final "Internet+" family nursing management model for the elderly consisting of 5 parts, including the service objects, management team members, the selection and training content of family caregivers, implementation method, management content with a total of 46 items was established.

This study focuses on the practical problems of elderly health management, and the "Internet +" family nursing management model constructed for the elderly not only conforms to the development of "Internet+ medical care" technology, but also realizes the participation of the elderly in remote health management, which is scientific and reliable, and can be used as a tool for remote care management of the elderly in the community.

近年来，随着移动医疗和远程医疗技术的发展，互联网医院、线上+线下合作等健康管理模式逐渐成为发展趋势。但是，老年人对"互联网+"技术使用存在局限性，从而影响老年人使用移动医疗。开发基于家庭成员的远程管理模式有助于提升老年人健康管理的覆盖面和效率。

聚焦家庭医生签约服务背景下老年人的签约问题，构建老年人"互联网+"家庭护理管理模式。

2020年6月—2021年2月，根据老年人健康管理相关政策规定，结合国内外文献研究和前期基础研究，初步拟定老年人"互联网+"家庭护理管理模式。应用德尔菲法，选择15名专家经过两轮专家咨询，形成老年人"互联网+"家庭护理管理模式终稿。

两轮专家咨询的积极系数均为100%，权威系数均为0.87，肯德尔协调系数分别为0.253和0.226（P<0.001）。最终建立了包含服务对象、管理团队成员、家庭照顾者的选择及培训内容、实施方式和管理内容5个部分，共46项条目的老年人"互联网+"家庭护理管理模式。

本文聚焦老年健康管理的现实问题，构建的老年人"互联网+"家庭护理管理模式，既顺应了"互联网+医疗"技术发展，又能实现老年人参与远程健康管理，具有科学性和可靠性，可作为社区老年人远程护理管理的工具。