Comparing case-mix systems for nursing home payment
Comparing case-mix systems for nursing home payment
复制标题
疗养院支付的案例组合系统比较
作者：
B. Fries
养老院的病例混合系统使用居民特征来预测资源的相对使用情况。七个系统在结构、解释资源使用的准确性、群体同质性和识别接受重度护理的居民的能力方面进行了比较。虽然管理会议记录和明尼苏达州病例混合系统也非常有效，但资源利用组版本II （RUG-II）几乎一致是最好的系统。病例混合组的相对权重对成本差异很敏感，对于新的应用应重新计算。案例混合制度的选择应采用多种标准，包括考虑内在激励因素和如何界定居民特征。
Case-mix systems for nursing homes use resident characteristics to predict the relative use of resources. Seven systems are compared in structure, accuracy in explaining resource use, group homogeneity, and ability to identify residents receiving heavy care. Resource utilization groups, version II (RUG-II), was almost uniformly the best system, although management minutes and the Minnesota case-mix system were also highly-effective. Relative weights for case-mix groups were sensitive to cost differences and should be recomputed for new applications. Multiple criteria should be used in choosing a case-mix system, including consideration of inherent incentives and how residents' characteristics are defined.
FRED：疗养院护理级别分配的创新方法。
影响因子：
3.4
作者：
Morris,JN;Sherwood,S;May,MI;Bernstein,E
通讯作者：
Bernstein,E