1998 Fiscal Year Final Research Report Summary
The development of the case-mix index for screening cerebrovascular disorder's and intractable disease'spatients requiring home health nursing care
| Project/Area Number |
09672432
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Nursing
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| Research Institution | Tokyo Women's Medical University (1998)
Tokyo Women's Medical College, Junior College Nursing (1997) |
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Principal Investigator |
ITO Keiichi Tokyo Women's Medical University School of Nursing, Associate Professor, 看護学部・看護学科, 助教授 (00191883)
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| Project Period (FY) |
1997 – 1998
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| Keywords | Case-Mix Index / ADL / care needs / CVD / Neuro-Intractable Disease / Home care |
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| Research Abstract |
The purpose of this study is to develop the case-mix index for screening cerebrovascular disorders and intractable diseases patients who require home care. The participants of this study were 411 home health patients aged 20 and over, discharged from brain surgery or neurological medicine department at the university hospital.
In the study, a hierarchic ordering among physical activities of daily living (ADL) was measured and the association between home health care costs and physical disability levels of the patients was assessed. Actual time needed home health care was converted into "proxy costs" and used in the analysis.
Main results were summarized as follows.
1) Items of physical ADL constituted a Guttman scale and indicated hierarchically one-dimensional pattern.
2) The order of activities from most to least difficult to perform unaided is : dressing, bathing, transfer, communication, continence and feeding.
3) Case-mix index exponentially increased with the seriousness of the physical disability levels based on Guttman scale pattern.
4) The value of case-mix index to the patients with neuro-intractable diseases was higher than those with cerebrovascular disorders.
5) Case-mix index developed on this study was available as one of the index for assessing the relative requirement of receiving home health nursing care.
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