|Title||Applying RUG-III in Japanese long-term care facilities|
|Publication Type||Journal Article|
|Year of Publication||1994|
|Authors||Ikegami N., Fries B.E, Takagi Y., Ikeda S., Ibe T.|
|Keywords||*Diagnosis-Related Groups, *Homes for the Aged/ut [Utilization], *Long-Term Care/cl [Classification], Aged, Health Resources/ut [Utilization], Hospitals, Chronic Disease/ut [Utilization], Human, Japan, Support, Non-U.S. Gov't|
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.