Abstract:Objective To develop a valid tool for evaluating quality of home-based hospice care. Method Based on Structure-Process-Outcome (SPO)quality model, the quality evaluation framework was developed through literature analysis and two rounds of Delphi expert consultation. The analytic hierarchy process (AHP) was applied to determine weights for indicators at all levels. Results Both consultation rounds achieved 100% valid questionnaire response rates, with an expert authority coefficient of 0.944. The final quality evaluation framework comprises 3 first-level indicators (support and guarantee, business operation, effect evaluation, with the weights being 0.280,0.423,and 0.297 respectively), 7 second-level indicators (system construction, asset allocation, human resources, life care, care empowerment, service efficiency, satisfaction), and 24 third-level indicators.The importance score ranges of the first-level, second-level, and third-level indicators were 9.62-9.76, 9.43-9.81, and 9.05-9.81 respectively,and the consistency test of each level of indicators has passed (all CR<0.1). Conclusion The established quality evaluation framework of home-based hospice care is reliable, scientific, and practical. It can be used as a valid tool to evaluate quality of hospice care services in residential settings, and promote the regularization and standardization of home-based hospice care services.