A comparison of the level of care predictions of six long-term care patient assessment systems
Bibliographic Data
| ID | 11038412 |
|---|---|
| Authors | Walter J Foley (0000-0001-8587-1814), D P Schneider |
| Year | 1980 |
| Volume | 70 |
| Issue | 11 |
| Pages | 1152-1161 |
| Publication date | 1980-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.70.11.1152 |
| PMID | 6775545 |
| OpenAlex | W1981503660 |
| Language | EN |
| Citations received | 11 |
Six patient assessment systems that have explicit decision rules for replicating team judgments on level of care patient placement were selected for analysis. The six were selected because of their origin, logic or decision diversity, and their ability to be programmed on a computer (i.e., explicit decision rules). Six hundred seventy-nine patient descriptor profiles were collected on patients currently in New York State nursing homes. These patients were then "placed" by level of care for each assessment system. The probability of agreement of placement between pairs of assessment systems ranges from 38 per cent to 91 per cent. Among SNF (skilled nursing facility) patients only, the level of agreement drops as low as 39 per cent. Uniformity of placement criteria is, in fact, the exception rather than the rule. A patient's placement is quite dependent on both his/her state of residence and his/her health status. The effect of differences in placement decisions has major implications for the patients being placed and for the cost of LTC (long-term care). This analysis was confined to systems that had a well developed set of guidelines--the situation is likely to be even more variable where guidelines are vaguely stated
Health care · Long-term care · Residence · Set (abstract data type) · Term (time) · Clinical practice guidelines implementation · Computer Science · Demography · Medicine · Nursing · Nursing Diagnosis and Documentation · Psychology
Case-Mix Classification of Medicare Residents in Skilled Nursing Facilities
Overview of Out-of-Home Placements and Placement Decision-Making in Child Welfare
Individual versus Team Case Management in Optimizing Community Care for Chronically Ill Patients with Dementia
Living arrangements and level of care among clients discharged from a scattered-site housing-based independent living program
Inconsistency in level of care assignment decisions in skilled nursing facilities
Rates, patterns, causes, and costs of hospitalization of nursing home residents
Appropriate placement and long-term care health planning
Reevaluating the Place of Evaluation in Planning for Alternatives to Institutional Care for the Elderly
A validity study of the St. Louis inventory of community living skills
A community ability scale for chronically mentally Ill consumers
Institutionalized and the non-institutionalized elderly
| Citations per year | 0.24 |
|---|---|
| Citation span | 1980 - 2013 (34) |
| Highly cited | No |