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The Gerontologist, Vol 34, Issue 5 628-639, Copyright © 1994 by The Gerontological Society of America
ARTICLES |
N Ikegami, BE Fries, Y Takagi, S Ikeda and T Ibe
Faculty of Policy Management, Keio University, School of Medicine, Tokyo, Japan.
A U.S. nursing home case-mix system, Resource Utilization Group, Version III (RUG-III), was tested in a variety of Japanese long-term care facilities. Staff time and resident characteristics were measured for a sample of 871 patients. Acceptable reliability was found for items defining RUG-III, and the system explained 44% of the variance in wage-weighted staff time (cost). Also, Japanese and U.S. costs had similar patterns across RUG-III categories. However, there was wide discrepancy between the stated purpose of Japanese facilities and their patient populations, and the current payment mechanism did not reflect actual use of resources.
This article has been cited by other articles:
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  M. A. Bjorkgren, U. Hakkinen, U. H. Finne-Soveri, and B. E. Fries Validity and reliability of Resource Utilization Groups (RUG-III) in Finnish long-term care facilities Scand J Public Health, July 1, 1999; 27(3): 228 - 234. [Abstract] [PDF]
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 A. Okamoto Need Assessment of Visiting Nursing and Rehabilitation Services for Noninstitutionalized Elderly J Aging Health, November 1, 1997; 9(4): 514 - 528. [Abstract] [PDF]
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 N. Ikegami and J. C. Campbell Medical Care in Japan N. Engl. J. Med., November 9, 1995; 333(19): 1295 - 1299. [Full Text] [PDF]
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N. Ikegami Functional Assessment and Its Place in Health Care N. Engl. J. Med., March 2, 1995; 332(9): 598 - 599. [Full Text]
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