On the Feasibility of a RUG-III based Payment System for Long-Term Care Facilities in Korea / 간호학회지
Journal of Korean Academy of Nursing
;
: 278-289, 2004.
Article
in Korean
| WPRIM
| ID: wpr-159064
ABSTRACT
PURPOSE:
The purpose of this study was to classify the elderly in long-term care facilities using the Resource Utilization Group(RUG-III) and to examine the feasibility of a payment method based on the RUG-III classification system in Korea.METHOD:
This study measured resident characteristics using a Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. Data was collected from 530 elderly residents over sixty, residing in long-term care facilities. Resource use for individual patients was measured by a wage-weighted sum of staff time and the total time spent with the patient by nurses, aides, and physiotherapists.RESULT:
The subjects were classified into 4 groups out of 7 major groups. The group of Clinically Complex was the largest (46.3%), and then Reduced Physical Function(27.2%), Behavior Problems (17.0%), and Impaired Cognition (9.4%) followed. Homogeneity of the RUG-III groups was examined by total coefficient of variation of resource use. The results showed homogeneity of resource use within RUG-III groups. Also, the difference in resource use among RUG major groups was statistically significant (p<0.001), and it also showed a hierarchy pattern as resource use increases in the same RUG group with an increase of severity levels(ADL).CONCLUSION:
The results of this study showed that the RUG-III classification system differentiates resources provided to elderly in long-term care facilities in Korea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Patients
/
Prospective Payment System
/
Long-Term Care
/
Health Resources
/
Homes for the Aged
/
Korea
/
Nursing Homes
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of Korean Academy of Nursing
Year:
2004
Type:
Article
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