DIFFERENTIAL COSTS AND INPUTS FOR SPECIAL CARE UNITS

特殊护理单位的不同成本和投入

• 批准号: 3546433
• 负责人: DOUGLAS HOLMES
• 金额: $ 19.65万
• 依托单位: HEBREW HOME FOR THE AGED AT RIVERDALE
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-30 至 1995-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3546433
• 关键词: Alzheimer's disease; cognition disorders; computer program /software; data collection; extended care; geriatric nursing; health care cost /financing; health care model; health care service utilization; home for elderly; human old age (65+); human subject; human very old age (85+); interview; nursing homes

Proposed is a study of inputs and costs associated with Special Care Units (SCUs) for demented elderly residents of long term residential health care facilities (LTRHCFs). This project would build upon an ongoing study (the parent study) of 960 residents in 32 LTRHCFs of impacts associated with SCU care. A subsample of 12 facilities would be site visits make by parent project staff, thus Enabling use of extensive resident-level data collected as part of the parent project. During the proposed site visits extensive data concerning service inputs, primarily personal services but also including selected other than personal (OTPS) costs, e.g., medications, would be obtained. Service input data -- category, provider, recipient, and duration using service barcodes and portable wands carried by facility staff, together with comprehensive software systems previously developed by the applicant. As the central goal is to determine whether there are differential costs associated with SCU care as contrasted with non-SCU care, and with different subgroups among demented residents, service and OTPS will be monetized according to prevailing average rates across the states involved in the study. Bivariate analysis will be used to determine whether there are SCU/non-SCU cost differences. Multivariate analyses will be used to determine whether different levels of cognitive impairment are significantly and meaningfully related to differences in input costs. Cost effect and cost benefit modelling will be used to address policy concerns relating to calculating case mix based reimbursement rates.

提议的是对与特殊护理单位相关的投入和成本的研究 （SCUS）长期住宅卫生保健的痴呆老年居民 设施（LTRHCFS）。 该项目将基于正在进行的研究（ 父母研究）与SCU相关的32个LTRHCF中的960名居民 关心。 12个设施的子样本将由父母进行现场访问 项目人员，从而可以使用广泛的居民级数据 作为父项目的一部分。 在拟议的现场访问期间 有关服务输入的数据，主要是个人服务 包括除个人（OTP）成本以外的其他选择，例如药物， 将获得。 服务输入数据 - 类别，提供商，收件人， 以及使用服务条形码和便携式魔杖的持续时间 员工以及以前由以前开发的综合软件系统 申请人。 因为中心目标是确定是否存在差异成本 与非SCU护理形成对比的SCU护理以及 痴呆居民，服务和OTP之间的不同亚组将是 根据所涉及的各州的普遍平均利率获利 在研究中。 双变量分析将用于确定是否存在 是SCU/非SCU成本差异。 多元分析将用于 确定不同水平的认知障碍是 与输入成本的差异显着且有意义地相关。 成本 效果和成本福利建模将用于解决政策问题 与计算基于情况混合的报销率有关。