Chu C
Healthc Manage Forum. 1994 Spring;7(1):24-31. doi: 10.1016/S0840-4704(10)61044-7.
The use of Resource Intensity Weights (RIWs*) for equity funding and utilization management assumes validity of the cost estimates, reliability of the patient categorization scheme, equivalence of the bases for cost comparison, and equity of the subsequent resource distribution. This paper examines these assumptions, and concludes that caution must be taken when using the current RIWs and Case Mix Groups (CMGs*) for resource allocation and performance evaluation purposes. RIW has represented a milestone in the history of Canadian health care product costing and management. It would be prudent for health care professionals at the operational level to provide structured and continuing feedback that can contribute to the validation and refinement of these valuable management tools.
使用资源强度权重（RIWs*）进行公平资金分配和利用管理，假定成本估算有效、患者分类方案可靠、成本比较基础等效，以及后续资源分配公平。本文审视了这些假设，并得出结论：在将当前的资源强度权重和病例组合分组（CMGs*）用于资源分配和绩效评估时必须谨慎。资源强度权重在加拿大医疗保健产品成本核算和管理史上具有里程碑意义。对于运营层面的医疗保健专业人员而言，提供结构化的持续反馈将有助于验证和完善这些有价值的管理工具，这是明智之举。
