To construct a framework for social work services in elderly palliative care, providing a scientific basis for enhancing the professionalism and effectiveness of social work in palliative care.

A preliminary framework for service content was developed through literature analysis and field research. The Delphi method and Analytic Hierarchy Process (AHP) were used to determine the weights of the indicators and conduct analysis.

A total of 11 experts were consulted, with an average working experience of (20.82±11.09) years, and 7 (63.64%) held deputy senior titles or above. The response rate of valid questionnaires in both rounds of consultation was 100%, with an expert authority coefficient of 0.932 and Kendall’s coefficients of concordance (W) of 0.150 and 0.166, respectively. The final framework for service content includes 3 first-level indicators, 12 second-level indicators, and 41 third-level indicators. At the first-level indicator level, the comprehensive weight of services for patients and their families is the highest, reaching 0.731. At the second-level indicator level, the comprehensive weight of psychological-social intervention is the highest, reaching 0.243. At the third-level indicator level, the comprehensive weight of psychological-emotional adjustment and crisis intervention services for patients and their families is the highest, reaching 0.085.

This study has constructed a framework for social work services in elderly palliative care, providing a standardized theoretical tool for clarifying professional roles, standardizing service practices, and promoting multidisciplinary collaboration. Future research should further verify its application effect and promotion value through large-sample practical studies.