Bay K S, Leatt P, Stinson S M
Med Care. 1983 Jan;21(1):31-47. doi: 10.1097/00005650-198301000-00003.
The objective of this article is to present the methods used for the validation of a patient classification system that was based on the concept of types of care (PCTC system). The PCTC system was developed to improve placement decisions for long-term care patients and also to provide information required for planning in the field of long-term care. A sample of long-term care patients was selected from various institutions/programs and the patients in the sample were assessed and classified by the program practitioners (users) as well as an independent panel (criterion team) composed of a physician, a nurse, and a social worker, using prototype forms specially designed for the project. An objective and empiric classification model was developed by applying discriminant analysis, Bayesian classification procedure, and cluster analysis techniques. The classification validity was evaluated by the use of the R, H, and U methods.
本文的目的是介绍用于验证基于护理类型概念的患者分类系统（PCTC系统）所使用的方法。开发PCTC系统是为了改善长期护理患者的安置决策，并提供长期护理领域规划所需的信息。从各个机构/项目中选取了一组长期护理患者样本，样本中的患者由项目从业者（使用者）以及由一名医生、一名护士和一名社会工作者组成的独立小组（标准团队），使用专门为该项目设计的原型表格进行评估和分类。通过应用判别分析、贝叶斯分类程序和聚类分析技术，开发了一个客观的实证分类模型。使用R、H和U方法评估分类有效性。
