RUG-III and resource allocation: comparing the relationship of direct care time with patient characteristics in five countries

TitleRUG-III and resource allocation: comparing the relationship of direct care time with patient characteristics in five countries
Publication TypeJournal Article
Year of Publication1997
AuthorsCarpenter G.I, Ikegami N., Ljunggren G., Carrillo E., Fries B.E
JournalAge & Ageing
Volume26
IssueSuppl 2
Pagination61-5
Date PublishedSep
Accession Number9464557
Keywords*Diagnosis-Related Groups/cl [Classification], *Geriatric Assessment, *Health Resources/ut [Utilization], *Long-Term Care/cl [Classification], *Nursing Homes, Activities of Daily Living, Aged, Comparative Study, Europe, Health Care Surveys, Human, Japan, Nursing Homes/ma [Manpower], Nursing Staff/sd [Supply & Distribution], Personnel Staffing and Scheduling, Reproducibility of Results, Severity of Illness Index, Support, Non-U.S. Gov't, Time Factors, United States
Abstract

BACKGROUND: resource use by different types of patients is of increasing interest to health care services all over the world. Case-mix systems that group together individuals with similar patterns of resource use have been developed to address these questions. Resource Utilization Groups version III (RUG-III) was developed in the USA to address the issue in the care of elderly people and has been validated in a number of countries. Method: this paper synthesizes the results of RUG-III validation studies performed in the USA, Japan, Spain, Sweden and England and Wales, showing the consistency of the system in spite of different skill-mix and total time spent with patients. Data from the validation studies of five countries were compared. Percentage of time given by trained nurses and mean nursing time per patient was compared overall and between selected RUG-III groups. Results: mean time per patient ranged from 84.4 min per day in Japan, to 155.6 min in England and Wales. Trained nurse time ranged from 7.5% of total time in the USA to 53.2% of total time in England and Wales. The inter-group relationship was very similar in all countries. The RUG-III system appears robust in a wide variety of settings and countries. Future research should address the relationship between skill-mix and total time spent with patients with respect to outcome and quality of care.

URLhttps://academic.oup.com/ageing/article/26/suppl_2/61/33744
DOI10.1093/ageing/26.suppl_2.61
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Alternate JournalAge Ageing