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Title
Comparing case-mix systems for nursing home payment.
First Author
Fries, Brant E
Date of Pub
1990 Summer
Pages
103-119
Volume
11
Issue
4
Other Authors
N/A
Abstract
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.
Abstract Continued
N/A
MeSH
Diagnosis-Related Groups : Comparative Study : Evaluation Studies : Health Resources/supply & distribution : Long-Term Care/classification : Models, Theoretical : Nursing Homes/utilization : Statistics : United States
NTIS Number
PB91-105973