With the acceleration of the aging process in society, the demand for hospice services is increasing. The development of hospice care in China started relatively late, and relevant institutional construction standards and management norms are still in the trial stage. As one of the important integrated medical and nursing service institutions, elderly care institutions currently lack an effective and homogeneous model and service system for hospice services.

To establish a scientific, standardized and feasible hospice service model for elderly care institutions.

From April to May in 2020, Chinese/English databases were systematically searched to obtain the literature related to hospice services. Five experts in the field of hospice care were invited to carry out semi-structured interviews, and the initial index system was constructed based on the results of literature retrieval and semi-structured interviews. In May 2020, a purposive sampling method was used to select fifteen experts in the field of hospice care to conduct two rounds of correspondence, and the indicator system was determined based on the analysis of the research group and expert suggestions. After two rounds of correspondence, an expert group interview was conducted to further optimize and adjust the formed indicator system.

In both rounds of correspondence, the questionnaire response rate was 100.0%, with expert authority coefficients of 0.89 and 0.94, respectively. The Kendall's W coefficients for the first level indicator were 0.54 and 0.59, respectively, and the Kendall's W coefficients for the second level indicator were 0.18 and 0.10, respectively. The final constructed indicator system for the hospice service model of elderly care institutions included three primary indicators of necessary resources and conditions, content and processes, assessment indicators, and 36 secondary indicators. In the second round of inquiry, the average importance score of the indicator was 3.87 to 5.00 points, the coefficient of variation was 0 to 0.25, and the full score rate was 63.0% to 100.0%.

The scientificity and reliability of the model hospice service model for elderly care institutions constructed in this study are good, which can provide reference for elderly care institutions to provide high-quality medical services for elderly patients at the end of their lives.

随着社会老龄化进程的加快，对安宁疗护服务的需求日益增加，但我国的安宁疗护发展起步较晚，相关的机构建设标准、管理规范还在试行阶段。老年护理机构作为重要的医养一体化服务机构之一，目前尚缺乏行之有效且同质化的安宁疗护服务模式与服务体系。

建立科学、规范、可行的老年护理机构安宁疗护服务模式。

于2020年4—5月，系统检索中/英文数据库以获取安宁疗护服务相关文献，同时邀请5名安宁疗护领域专家开展半结构化访谈，结合文献检索和半结构化访谈结果构建初始指标体系。于2020年5月，采用目的抽样法选取15名安宁疗护相关领域专家开展两轮函询，结合课题组分析与专家建议确定指标体系。两轮函询后，开展专家小组团体面谈，对形成的指标体系做进一步优化调整。

在两轮函询中，问卷回收率均为100.0%，专家权威系数分别为0.89和0.94，一级指标的肯德尔和谐系数分别为0.54和0.59，二级指标的肯德尔和谐系数分别为0.18、0.10。最终构建的老年护理机构安宁疗护服务模式指标体系包含须具备的资源与条件、内容和流程、考核指标3个一级指标、36个二级指标。第2轮函询中，指标的重要性得分均值为3.87~5.00分，变异系数为0~0.25，满分率为63.0%~100.0%。

本研究构建的老年护理机构安宁疗护服务模式的科学性和可靠性较好，可以为老年护理机构开展老年患者生命末期优质医疗服务提供借鉴。