Morris J N, Hawes C, Fries B E, Phillips C D, Mor V, Katz S, Murphy K, Drugovich M L, Friedlob A S
Department of Social Gerontological Research, Hebrew Rehabilitation Center for Aged, Boston, MA 02131.
Gerontologist. 1990 Jun;30(3):293-307. doi: 10.1093/geront/30.3.293.
In response to the Omnibus Reconciliation Act of 1987 mandate for the development of a national resident assessment system for nursing facilities, a consortium of professionals developed the first major component of this system, the Minimum Data Set (MDS) for Resident Assessment and Care Screening. A two-state field trial tested the reliability of individual assessment items, the overall performance of the instrument, and the time involved in its application. The trial demonstrated reasonable reliability for 55% of the items and pinpointed redundancy of items and initial design of scales. On the basis of these analyses and clinical input, 40% of the original items were kept, 20% dropped, and 40% altered. The MDS provides a structure and language in which to understand long-term care, design care plans, evaluate quality, and describe the nursing facility population for planning and policy efforts.
为响应1987年《综合预算调节法案》中关于开发全国护理机构居民评估系统的要求，一个专业人员联盟开发了该系统的首个主要组成部分，即居民评估与护理筛查最低数据集（MDS）。一项在两个州进行的现场试验测试了各个评估项目的可靠性、该工具的整体性能以及应用所需时间。试验表明，55%的项目具有合理的可靠性，并指出了项目冗余和量表的初始设计问题。基于这些分析和临床反馈，保留了40%的原始项目，删除了20%，并对40%进行了修改。MDS提供了一种结构和语言，用于理解长期护理、设计护理计划、评估质量以及描述护理机构人群，以进行规划和政策制定。
