Activities of Daily Living and Costs in Nursing Homes

Functionality, as measured by activities of daily living (ADL), is the most important predictor of the cost of nursing home care. Data from a field-test version of the federally mandated Minimum Data Set (MDS) were examined using analysis of variance (ANOVA) and recursive partitioning methods to det...

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Detalles Bibliográficos
Autores principales: Williams, Brent C., Fries, Brant E., Foley, William J., Schneider, Don, Gavazzi, Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1994
Materias:
Health Care Needs of Vulnerable Populations
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193443/
https://www.ncbi.nlm.nih.gov/pubmed/10138481
Descripción
Sumario:Functionality, as measured by activities of daily living (ADL), is the most important predictor of the cost of nursing home care. Data from a field-test version of the federally mandated Minimum Data Set (MDS) were examined using analysis of variance (ANOVA) and recursive partitioning methods to determine the relationships between ADL limitations and nursing cost (wage-weighted nursing time) among nursing home residents (n = 6,663). From this analysis, an index based on limitations in four ADLs was created. The developed ADL index is a readily determined measure of functional status useful in allocating nursing staff within nursing homes and in comparing the functional status of groups of residents, explaining 30 percent of variance in nursing costs among nursing home residents.

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