Eagar K
Centre of Health Service Development, University of Wollongong.
Aust Health Rev. 1997;20(3):105-19. doi: 10.1071/ah970105.
This is the first study in Australia to test definitions of various types of 'episodes of care'. The definitions reported here are those used in the 1996 National Sub-Acute and Non-Acute Patient (SNAP) Casemix Classification Study. The study collected data on a total of 683 patients at 10 hospitals and 2 community health services providing a range of rehabilitation, aged care and community care services. The kappa statistic (kappa) was used to determine the significance of the level of agreement between raters. The value of kappa was 0.838 with a 95 per cent confidence interval of 0.801 to 0.975. The results of this study are encouraging and support the use of the five Case Types - Palliative Care, Rehabilitation, Psychogeriatric, Geriatric Evaluation and Management, and Maintenance Care. All five Case Types proved to have good interrater reliability, there was a good fit for most patients, and staff found the definitions easy to use.
这是澳大利亚第一项测试各类“护理事件”定义的研究。此处报告的定义是1996年全国亚急性和非急性患者（SNAP）病例组合分类研究中所使用的定义。该研究收集了10家医院和2家社区卫生服务机构共683名患者的数据，这些机构提供一系列康复、老年护理和社区护理服务。kappa统计量（kappa）用于确定评分者之间一致性水平的显著性。kappa值为0.838，95%置信区间为0.801至0.975。本研究结果令人鼓舞，并支持使用五种病例类型——姑息治疗、康复、老年精神科、老年评估与管理以及维持性护理。所有这五种病例类型均证明具有良好的评分者间信度，对大多数患者而言匹配良好，且工作人员发现这些定义易于使用。
