PMID: 7762462Jan 1, 1995Paper

Casemix for the elderly inpatient: Resource Utilization Groups (RUGs) validation project. Casemix for the Elderly Inpatient Working Group

Age and Ageing
G I CarpenterG F Turner

Abstract

Current methods of contracting for patient treatment in the health service are not suitable for elderly patients with multiple pathology and functional impairment. This study examines Resource Utilization Groups (RUGs) for use in geriatric medicine in England and Wales, based on 1675 patients from 26 hospitals in eight health districts in England and Wales. Nurses completed a questionnaire on the clinical characteristics of patients required to allocate them to one of 44 RUG groups. Nurse/patient contact times were recorded over a 24-hour period. Therapist/patient contact times were recorded for a week. Data were analysed using analysis of variance with time as independent and RUG group as dependent variable. Variance explanation in excess of 45% was achieved in acute and rehabilitation wards. In long-stay wards, variance explanation (23%) was no better than ADL score alone. RUG-III could form the basis of a casemix system for geriatrics in England and Wales in acute and rehabilitation settings.

Citations

Aug 1, 2007·Tijdschrift voor gerontologie en geriatrie·D H M Frijters, W P Achterberg
Jul 26, 2008·Archives of Gerontology and Geriatrics·H Finne-Soveri, R S Tilvis
Dec 6, 2005·Healthcare Management Forum·Jacqueline McDonaldP S Parfrey
Jan 23, 2009·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Kee-Lee ChouJoe C B Leung
Mar 3, 1999·Healthcare Management Forum·D O'ReillyJ McDonald
Feb 22, 2005·Journal of Psychiatric and Mental Health Nursing·C Iglesias, M J Alonso Villa
May 20, 2003·Journal of Advanced Nursing·Michelle PerryKevin Hope
Sep 25, 2009·Psycho-oncology·Amy WallerPalliative Care Research Program team
Aug 30, 2005·Archives of Gerontology and Geriatrics·Nicole DubucLise Trottier
Feb 14, 2015·Zeitschrift für Gerontologie und Geriatrie·Markus Anliker, Guido Bartelt
Apr 15, 2006·Palliative Medicine·Peter L HudsonLinda J Kristjanson
Nov 11, 2011·Clinical Rehabilitation·Lynne Turner-StokesKathy Eagar
Sep 11, 1999·Scandinavian Journal of Public Health·M A BjörkgrenB E Fries
Dec 4, 1998·Scottish Medical Journal·L Ramage

Related Concepts

Self Care (Rehabilitation)
Cost Control
Future
Resources
Health Services for the Aged
Long-term Care
Voluntary Admission
Rehabilitation Centers
Utilization Review
Geriatric Assessment

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