PATIENT CLASSIFICATION IN HOME HEALTH-CARE - ARE WE READY

被引:13
作者
COX, CL
WOOD, JE
MONTGOMERY, AC
SMITH, PC
机构
[1] MICHIGAN STATE UNIV,E LANSING,MI 48824
[2] UNIV ILLINOIS,COLL NURSING,CHICAGO,IL 60680
[3] ST JOSEPHS HOSP,MEMPHIS,TN
关键词
D O I
10.1111/j.1525-1446.1990.tb00625.x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This longitudinal descriptive study retrospectively profiled the acutely ill patient in home health care and explored the utility of using patient record data in predicting agency resource use and patient outcome. The findings suggest that those variables traditionally relied on for reimbursement qualification and as components of patient‐classification schemes may not be wholly adequate to explain resource use and patient outcome in the home health setting. Professional nursing judgment of the patient's prognosis was found to be the most sensitive variable predicting outcome. Selected diagnoses and self‐care capacity of the patient were the major predictors of resource use. Suggestions are offered for further studies that may move public health nursing more quickly toward the development of consistent and accurate home health care case mix measures. Copyright © 1990, Wiley Blackwell. All rights reserved
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页码:130 / 137
页数:8
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*US DHHS, 1983, NEW ICD9CM DIAGN REL