Morris J N, Sherwood S, May M I, Bernstein E
Health Serv Res. 1987 Apr;22(1):117-38.
A clear need currently exists to consider new approaches for classifying nursing home residents. The traditional intermediate care facility/skilled nursing facility (ICF/SNF) dichotomy cannot provide adequate information on the type of care required by any one individual, and it provides only the most limited information required to address the care and quality-of-life needs of the total patient population within a facility, as well as the level of reimbursement appropriate for their care. This article describes an alternative procedure for allocating nursing home residents according to a more comprehensive array of internally homogeneous categories. This system is based on an operational perspective focused on the total nursing and staffing requirements for types of nursing home residents. The tool is titled "Functionally Ranked Explanatory Designations," or FRED.
目前显然需要考虑采用新方法对疗养院居民进行分类。传统的中级护理机构/熟练护理机构（ICF/SNF）二分法无法为任何一个人所需的护理类型提供充分信息，而且它仅提供了满足机构内全体患者护理和生活质量需求以及适合其护理的报销水平所需的最有限信息。本文介绍了一种替代程序，可根据一系列更全面的内部同质类别对疗养院居民进行分配。该系统基于一种操作视角，重点关注疗养院居民类型的总体护理和人员配备要求。该工具名为“功能分级解释性指定”，即FRED。
