| Title | Validity and reliability of Resource Utilization Groups (RUG-III) in Finnish long-term care facilities |
| Publication Type | Journal Article |
| Year of Publication | 1999 |
| Authors | Bjorkgren M.A, Hakkinen U., Finne-Soveri U.H, Fries B.E |
| Journal | Scandinavian Journal of Public Health |
| Volume | 27 |
| Issue | 3 |
| Pagination | 228-34 |
| Date Published | Sep |
| Accession Number | 10482083 |
| Keywords | *Diagnosis-Related Groups/cl [Classification], *Health Resources/ut [Utilization], *Long-Term Care/cl [Classification], *Skilled Nursing Facilities/ut [Utilization], *Utilization Review/mt [Methods], Activities of Daily Living, Aged, Analysis of Variance, Female, Finland, Geriatric Assessment, Human, Length of Stay/ec [Economics], Male, Personnel Staffing and Scheduling/ec [Economics], Predictive Value of Tests, Reproducibility of Results, Skilled Nursing Facilities/ec [Economics], Skilled Nursing Facilities/ma [Manpower], Support, Non-U.S. Gov't, Utilization Review/st [Standards] |
| Abstract | Resource Utilization Groups, Version III (RUG-III) is a case-mix system developed in the USA for classification of long-term care residents. This paper examines the validity and reliability of an adapted 22-group version of RUG-III (RUG-III/22) for use in long-term care facilities in Finland. Finnish cost weights for RUG-III/22 groups are calculated and different methods for their computation are evaluated. The study sample (1,964 residents) was collected in 1995-96 from ten long-term care facilities in Finland. RUG-III/22 alone explained 38.2% of the variance of total patient-specific (nursing + auxiliary staff) per diem cost. Resource use within RUG groups was relatively homogeneous. Other predictors of resource use included age, gender and length of stay. RUG-III/22 also met the standard for good reliability (i.e. a kappa value of 0.6 or higher) for crucial classification items, such as activities of daily living and high correlation between assessments based on relative cost. |
| Link | https://deepblue.lib.umich.edu/bitstream/handle/2027.42/68924/10.1177_14... |
| Short Title | Scand J Public Health |
| Alternate Journal | Scand J Public Health |
