On the Feasibility of a RUG-III based Payment System for Long-Term Care Facilities in Korea.
10.4040/jkan.2004.34.2.278
- Author:
Eun Kyung KIM
1
;
Ha Young PARK
;
Chang Yup KIM
Author Information
1. School of Nursing, Eulji University, Korea. kek@eulji.ac.kr
- Publication Type:Original Article ; English Abstract
- Keywords:
Long-term care;
Elderly;
Prospective payment system
- MeSH:
Aged;
Female;
Health Resources/*utilization;
Homes for the Aged/*economics;
Humans;
Korea;
Long-Term Care/*economics;
Male;
Nursing Homes/*economics;
Patients/*classification;
*Prospective Payment System
- From:
Journal of Korean Academy of Nursing
2004;34(2):278-289
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to classify the elderly in long-term care facilities using the Resource Utilization Group(RUG-III) and to examine the feasibility of a payment method based on the RUG-III classification system in Korea. METHOD: This study measured resident characteristics using a Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. Data was collected from 530 elderly residents over sixty, residing in long-term care facilities. Resource use for individual patients was measured by a wage-weighted sum of staff time and the total time spent with the patient by nurses, aides, and physiotherapists. RESULT: The subjects were classified into 4 groups out of 7 major groups. The group of Clinically Complex was the largest (46.3%), and then Reduced Physical Function(27.2%), Behavior Problems (17.0%), and Impaired Cognition (9.4%) followed. Homogeneity of the RUG-III groups was examined by total coefficient of variation of resource use. The results showed homogeneity of resource use within RUG-III groups. Also, the difference in resource use among RUG major groups was statistically significant (p<0.001), and it also showed a hierarchy pattern as resource use increases in the same RUG group with an increase of severity levels(ADL). CONCLUSION: The results of this study showed that the RUG-III classification system differentiates resources provided to elderly in long-term care facilities in Korea.
