[On the feasibility of a RUG-III based payment system for long-term care facilities in Korea].

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  • Author(s): Kim EK;Kim EK; Park HY; Kim CY
  • Source:
    Taehan Kanho Hakhoe chi [Taehan Kanho Hakhoe Chi] 2004 Apr; Vol. 34 (2), pp. 278-89.
  • Publication Type:
    Journal Article
  • Language:
    Korean
  • Additional Information
    • Source:
      Publisher: Han'guk Kanho Kwahakhoe Country of Publication: Korea (South) NLM ID: 101191388 Publication Model: Print Cited Medium: Print ISSN: 1598-2874 (Print) Linking ISSN: 15982874 NLM ISO Abbreviation: Taehan Kanho Hakhoe Chi Subsets: MEDLINE
    • Publication Information:
      Publication: Feb. 2005-: Sŏul : Han'guk Kanho Kwahakhoe
      Original Publication: <2003>-Dec. 2004: Sŏul : Taehan Kanho Hakhoe
    • Subject Terms:
      Prospective Payment System*; Health Resources/*statistics & numerical data ; Homes for the Aged/*economics ; Long-Term Care/*economics ; Nursing Homes/*economics ; Patients/*classification; Aged ; Female ; Humans ; Korea ; Male
    • 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.
    • Publication Date:
      Date Created: 20040818 Date Completed: 20050503 Latest Revision: 20191108
    • Publication Date:
      20231215
    • Accession Number:
      10.4040/jkan.2004.34.2.278
    • Accession Number:
      15314323