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Nursing Home Case Mix

Patient Classification by Nursing Resource Use

Datos Bibliográficos

ID9102669
AutoresGreg Arling (0000-0001-8563-9433, University of Wisconsin–Madison, autor de correspondencia), Richard H Nordquist (Virginia Commonwealth University Medical Center), Barbara A Brant (Virginia Commonwealth University), John A Capitman (0000-0002-4667-0048)
Año1987
Volumen25
Número1
Páginas9-19
Fecha de publicación1987-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198701000-00002
PMID3100881
OpenAlexW2064453785
IdiomaEN
Citas recibidas6
Referencias citadas1

A model is presented for classifying nursing home patients according to nursing resource use. The model is derived from a study of 558 Medicaid nursing home patients in 12 facilities in Virginia. Data were obtained from self-reports of nursing staff for care delivered over a 52-hour period. The measure of care time was validated through concurrent work sampling. Project staff also assessed the patients' health and functional status using a standardized instrument. Using AID analysis patients were classified into six groups that were homogeneous in their use of nursing resources. Patients were initially categorized by presence or absence of conditions requiring specialized care (e.g., nutritional intake problems, quadriplegia, wounds or lesions, coma, and physical rehabilitation potential). For the specialized care category, two groups were formed by presence or absence of a catheter/ostomy. In the nonspecialized care category, four groups were formed by ADL impairment score and assistance required in eating/feeding. Mean resource use for the highest group was nearly four times that of the lowest group. The model accounted for 53% of the variance in nursing resource use

Case mix index · Health care · Homogeneous · Medicaid · Nurse education · Nursing care · Nursing Outcomes Classification · Physical therapy · Primary nursing · Resource use · Skill mix · Dementia and Cognitive Impairment Research · Frailty in Older Adults · Geriatric Care and Nursing Homes · Medicine · Nursing · Rehabilitation

  • Refining a Case-Mix Measure for Nursing Homes

    Brant E Fries, Don P Schneider et al.•Medical Care•1994

  • Smoke without Fire

    Open Access•Martin Kitchener, Alan Bostrom et al.•INQUIRY The Journal of Health…•2004

  • Mental Illness and Psychotropic Medication Use in the Nursing Home

    Open Access•Greg Arling, Brenda Ryther et al.•Journal of Aging and Health•1991

  • Reducing the use of physical restraints in nursing homes

    Charles D Phillips, C Hawes et al.•American Journal of Public Health•1993

  • Does Investor Ownership of Nursing Homes Compromise the Quality of Care

    Charlene Harrington, Steffie Woolhandler et al.•American Journal of Public Health•2001

  • The effects of mental dysfunction on nursing home care

    Open Access•James E Rohrer, Kathleen Buckwalter et al.•Social Science & Medicine•1989

  • Case-mix and Resource Use in Long-term Care

    James M Cameron•Medical Care•1985

Obras citantes distintas6
Citas por año0,16
Intervalo de citas1989 - 2004 (16)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 5
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