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
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Patients
/
Système de paiements préétablis
/
Soins de longue durée
/
Ressources en santé
/
Maisons de retraite médicalisées
/
Corée
/
Maisons de repos
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Asie
langue:
Coréen
Texte intégral:
Journal of Korean Academy of Nursing
Année:
2004
Type:
Article
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