Faced with the increasingly severe trend of population aging and the threat of non communicable chronic diseases, China actively guides and promotes the development of community embedded integrated medical and nursing care service with characteristics of traditional Chinese medicine (TCM). However, there are limited studies on performance evaluation in this field in the existing literature. The construction of a set of scientific and effective performance evaluation index system for community embedded integrated medical and nursing care service with characteristics of TCM has important theoretical significance and practical value.

To construct a performance evaluation index system for community embedded integrated medical and nursing care service with characteristics of TCM, determine the weights for indicators of each level, so as to provide reference for the formulation of relevant policies and the performance evaluation of community embedded integrated medical and nursing care service with characteristics of TCM.

From September to October 2022, a two-dimensional theoretical framework of "embedded-performance" for the community embedded integrated medical and nursing care service with characteristics of TCM was established through literature research and based on the embeddedness theory and the structure-process-outcome theoretical model. From October to November 2022, an index system was constructed based on the two-dimensional theoretical framework of "embedded-performance", with methods of literature research, Delphi method, and field investigation. In December 2022, the analytic hierarchy process was applied to determine the weight coefficients and test the logical consistency of indicators at all levels.

A performance evaluation index system for community embedded integrated medical and nursing care service with characteristics of TCM, containing 2 dimensions of embeddedness and embedded performance, 6 primary indicators, 19 secondary indicators, and 45 tertiary indicators was constructed. The primary indicators with the highest weight were A5 (service process) and A6 (service outcome), while the secondary and tertiary indicators with the highest combined weight were B17 (service output), B19 (service satisfaction), and C44 (elderly satisfaction). All judgment matrices have passed the consistency test with CR<0.1.

The two-dimensional theoretical framework of "embedded-performance" for community embedded integrated medical and nursing care with characteristics of TCM has strong applicability and feasibility. The performance evaluation index system constructed based on this theoretical framework has a high concentration of expert opinions, strong scientific, rationality, systematicness, hierarchy, and application value, which can provide reference for government departments to formulate relevant policies, and is an effective tool for conducting performance evaluation of community embedded integrated medical and nursing care service with characteristics of TCM.

面对日益严峻的人口老龄化趋势和非传染性慢性病的威胁，我国积极引导和促进社区嵌入式中医药特色医养结合的发展，然而已有文献中鲜见关于该领域绩效评价的研究，构建一套科学、有效的社区嵌入式中医药特色医养结合服务绩效评价指标体系，具有重要的理论意义和实践价值。

构建社区嵌入式中医药特色医养结合服务绩效评价指标体系，并确定各层次指标权重，为相关政策的制定及开展社区嵌入式中医药特色医养结合服务绩效评价提供借鉴和参考。

于2022年9—10月，通过文献研究法，依据嵌入性理论和结构-过程-结果理论模型，建立社区嵌入式中医药特色医养结合"嵌入-绩效"二维理论框架；于2022年10—11月，根据"嵌入-绩效"二维理论框架，采用文献研究法、德尔菲法、实地调查法构建形成指标体系；于2022年12月，应用层次分析法确定各级指标权重系数并检验各级指标逻辑一致性。

构建了包含嵌入性和嵌入绩效2个维度、6项一级指标、19项二级指标、45项三级指标的社区嵌入式中医药特色医养结合服务绩效评价体系；一级指标中权重最大的分别是A5（服务过程）和A6（服务结果），二级、三级指标中组合权重最大的分别是B17（服务产出）和B19（服务满意度）、C44（老年人满意度）；判断矩阵均通过一致性检验，随机性一致性比值（CR）<0.1。

所建立的社区嵌入式中医药特色医养结合"嵌入-绩效"二维理论框架具有较强的适用性和可行性，根据该理论框架构建的指标体系专家意见集中度较高，具有较强的科学性、合理性、系统性、层次性和应用价值，能够为政府部门制定相关政策提供借鉴和参考，是开展社区嵌入式中医药特色医养结合服务绩效评价的有效工具。