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Title
Activities of daily living and costs in nursing homes.
First Author
Williams, Brent C
Date of Pub
1994 Summer
Pages
117-135
Volume
15
Issue
4
Other Authors
Foley, William J; Fries, Brant E; Gavazzi, Marie; Schneider, Don P
Abstract
Functionality, as measured by activities of daily living (ADL), is the most important predictor of the cost of nursing home care. Data from a field-test version of the federally mandated Minimum Data Set (MDS) were examined using analysis of variance (ANOVA) and recursive partitioning methods to determine the relationships between ADL limitations and nursing cost (wage-weighted nursing time) among nursing home residents (n = 6,663). From this analysis, an index based on limitations in four ADLs was created. The developed ADL index is a readily determined measure of functional status useful in allocating nursing staff within nursing homes and in comparing the functional status of groups of residents, explaining 30 percent of variance in nursing costs among nursing home residents.
Abstract Continued
N/A
MeSH
Activities of Daily Living : Aged : Analysis of Variance : Data Collection : Diagnosis-Related Groups/statistics & numerical data : Health Care Costs/statistics & numerical data : Health Services Research : Human : Long-Term Care/classification : Nursing Homes/economics/statistics & numerical data : Nursing Services/utilization : Time and Motion Studies : United States
NTIS Number
PB99-106437