目的 探讨居家养老慢性病患者智慧医疗服务需求，并分析需求实现与用户满意度之间的关系。方法 采用招募法选择长春市299例居家养老慢性病患者为研究对象，采用混合研究方法，通过一般资料调查、半结构式访谈了解居家养老慢性病患者自我管理现状及健康服务需求，运用卡诺模型进行需求分类和优先级排序，最后结合产品服务系统的设计方法，构建产品和服务一起交付的智慧医疗产品新模式。结果 需求指标3、4、9归属为必备型需求，需求指标1、5、8归属为期望型需求，需求指标7、10、11、13、14归属为魅力型需求，需求指标2、6、12、15归属为无差异型需求。结论 居家养老慢性病患者智慧医疗服务应在维持和完善必备、期望属性需求基础上，发展和创新魅力属性需求，客观分析和改良无差异需求，以提升居家养老慢性病患者智慧医疗产品用户体验和服务质量。

Objective To explore the demand for smart medical services for the home-based elderly patients with chronic diseases,and to analyze the relationship between demand realization and user satisfaction.Methods Recruitment method was used to select 299 home-based patients with chronic diseases in Changchun City as the research objects.The mixed research method,general information research and semi-structured interviews were used to understand the current status of self-management and health service needs of home-based patients with chronic diseases.The Kano model was used to classify and prioritize the needs.Finally, with the design method of the product service system, a new model of smart medical products with consistent delivery of products and services was constructed.Results Demand indicators 3, 4,and 9 were classified as must-be attributes;Demand Indicators 1,5,and 8 were classified as one-dimensional attributes;Demand Indicators 7,10,11,13,and 14 were classified as attractive attributes;and Demand Indicators 2,6,12,and 15 were classified as indifferent attributes.Conclusions Smart medical services for home-based patients with chronic diseases should develop and innovate the needs with attractive attributes and objectively analyze and optimize the needs of indifferent attributes after maintaining and improving the needs of must-be and one-dimensional attributes, so as to improve the user experience and service quality of smart medical products for the home-based patients with chronic diseases.

R47-05

吉林省科技发展计划项目（20230203040SF）；吉林省医疗卫生人才专项项目（2019SCET085）；吉林省教育厅社会科学项目（JJKH20230357SK）