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Development of the Korean framework for senior-friendly hospitals: a Delphi study

 Yoon-Sook Kim  ;  Seol-Heui Han  ;  Jeong-Hae Hwang  ;  Jae-Min Park  ;  Jongmin Lee  ;  Jaekyung Choi  ;  Yeonsil Moon  ;  Hee Joung Kim  ;  Grace Jung Eun Shin  ;  Ji-Sun Lee  ;  Ye Ji Choi  ;  Kyeong Eun Uhm  ;  In Ae Kim,  ;  Ji-Won Nam 
 BMC HEALTH SERVICES RESEARCH, Vol.17(1) : 528, 2017 
Journal Title
Issue Date
Accreditation/standards ; Aged ; Consensus ; Delphi Technique ; Female ; Health Promotion/organization & administration ; Health Services for the Aged/organization & administration* ; Hospitalization* ; Hospitals/standards ; Humans ; Male ; Patient Discharge ; Patient Safety/standards ; Quality Improvement/standards ; Republic of Korea ; Surveys and Questionnaires
Accreditation ; Delphi survey ; Elderly ; Senior friendly hospital
BACKGROUND: Aging is an inevitable part of life. One can maintain well-being and wellness even after discharge and/or transition if his or her functional decline is minimized, sudden decline is prevented, and functioning is promoted during hospitalization. Caring appropriately for elderly patients requires the systematic application of Senior-Friendly Hospital principles to all operating systems, including medical centres' organization and environment, as well as patient treatment processes. The Senior-Friendly Hospital framework is valid and important for patient safety and quality improvement. This study aimed to make recommendations regarding the development of the Korean Framework for Senior-Friendly Hospitals for older patients' care management, patient safety interventions, and health promotion, via a Delphi survey.

METHODS: Two rounds of Delphi surveying were conducted with 15 participants who had at least 3 years' experience in accreditation surveying and medical accreditation standards, survey methods, and accreditation investigator education. In each round, we calculated statistics describing each standard's validity and feasibility.

RESULTS: The Korean Framework for Senior-Friendly Hospitals included 4 Chapters, 11 categories, and 67 standards through consensus of the Senior-Friendly Hospitals task force and experts' peer review. After the two rounds of Delphi surveying, validity evaluation led to no changes in standards of the Senior-Friendly Hospitals; however, the number of standards showing adequate validity decreased from 67 to 58. Regarding feasibility, no changes were necessary in the standards; however, the number of categories showing adequate feasibility decreased from 11 to 8 and from 67 to 30, respectively. The excluded categories were 3.2, 4.2, and 4.3 (service, transportation, and signage and identification). The highest feasibility values were given to standards 2.1.1, 4.1.4, and 4.1.6. The highest feasibility score was given to standard 2.4.2.

CONCLUSIONS: The Korean Framework for Senior-Friendly Hospitals needs to include 4 Chapters, 8 categories, and 30 standards. The Accreditation Program for Healthcare Organizations should include Senior-Friendly Hospitals -relevant standards considering Korea's medical environment.
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1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실) > 1. Journal Papers
Yonsei Authors
Park, Jae Min(박재민) ORCID logo https://orcid.org/0000-0001-8873-8832
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