Validity and reliability of Resource Utilization Groups (RUG-III) in Finnish long-term care facilities.
Resource Utilization Groups, Version III (RUG-III) is a case-mix system developed in the USA for classification of long-term care residents.
This paper examines the validity and reliability of an adapted 22-group version of RUG-III (RUG-I II/22) for use in long-term care facilities in Finland.
Finnish cost weights for RUG-III/22 groups are calculated and different methods for their computation are evaluated.
The study sample (1,964 residents) was collected in 1995-96 from ten long-term care facilities in Finland.
RUG-III/22 alone explained 38.2% of the variance of total patient-specific (nursing+auxiliary staff) per diem cost.
Resource use within RUG groups was relatively homogeneous.
Other predictors of resource use included age, gender and length of stay.
RUG-I II/22 also met the standard for good reliability (i.e. a kappa value of 0.6 or higher) for crucial classification items, such as activities of daily living and high correlation between assessments based on relative cost.
Mots-clés Pascal : Finlande, Europe, Epidémiologie, Méthodologie, Homme, Santé, Soin, Long terme, Classification, Utilisation, Ressource, Validité, Fiabilité, Système RUG III
Mots-clés Pascal anglais : Finland, Europe, Epidemiology, Methodology, Human, Health, Care, Long term, Classification, Use, Resource, Validity, Reliability
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0422795
Code Inist : 002B30A01A1. Création : 22/03/2000.