Applying RUG-III in Japanese Long-Term Care Facilities
- 1 October 1994
- journal article
- research article
- Published by Oxford University Press (OUP) in The Gerontologist
- Vol. 34 (5) , 628-639
- https://doi.org/10.1093/geront/34.5.628
Abstract
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.Keywords
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