Case mix adjustment in nursing systems research: the case of resident outcomes in nursing homes.
作者信息
Anderson R A, Su H F, Hsieh P C, Allred C A, Owensby S, Joiner-Rogers G
机构信息
Duke University School of Nursing, DUMC 3322, Durham, NC 27710, USA.
出版信息
Res Nurs Health. 1999 Aug;22(4):271-83. doi: 10.1002/(sici)1098-240x(199908)22:4<271::aid-nur2>3.0.co;2-6.
Abstract
Case mix indicates, for a resident population, the degree of risk for developing favorable or unfavorable outcomes. In a study of 164 nursing homes, we explored two methods for combining resident assessment data into a case mix index (CMI). We compared a facility-level, composite CMI to a prevalence-based CMI comprised of 22 separate resident characteristics for their adequacy in explaining resident outcomes. The prevalence-based CMI consistently explained more variance in outcomes than the facility level, composite CMI. This study indicates a reasonable method for using administrative databases containing resident assessment data to adjust for the influence of case mix on nursing home resident outcomes.
摘要
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本文引用的文献
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Health Care Financ Rev. 1995 Summer;16(4):55-83.
2
Development and testing of nursing home quality indicators.养老院质量指标的制定与测试。
Health Care Financ Rev. 1995 Summer;16(4):107-27.
3
Nursing home resident assessment and case-mix classification: cross-national perspectives.养老院居民评估与病例组合分类：跨国视角
Health Care Financ Rev. 1992 Summer;13(4):135-55.
4
Comparing case-mix systems for nursing home payment.比较疗养院支付的病例组合系统。
Health Care Financ Rev. 1990 Summer;11(4):103-19.
5
Resource allocation and resident outcomes in nursing homes: comparisons between the best and worst.养老院中的资源分配与住院患者结局：最佳与最差情况的比较。
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Med Care. 1998 Jan;36(1):28-39. doi: 10.1097/00005650-199801000-00005.
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