Using the handicap code of the ICIDH for classifying patients by intensity of nursing care requirements.
An 11-class patient classification system (PCS) has been built on a recode of two dimensions of the handicap code of the ICIDH: physical independence and mobility handicaps. The proposed system, called MAC XI, explains 78% of the variance of nursing care hours required by nursing-home residents and extended-care hospital patients. This percentage of variation is higher than the one explained by traditional dependency grids such as the Exton-Smith, Murphy, Kuntzmann and SMAF. MAC XI, based on two dimensions of the handicap code, is thus a powerful tool for predicting intensity of nursing care for staffing and budgeting purposes in long-term care institutions.
Tilquin
C
C
ROSES-Recherches OpérationnelleS En Santé, Département d'administration de la santé, Université de Montréal, Canada.
Michelon
P
P
D'Hoore
W
W
Sicotte
C
C
Carrillo
E
E
Leonard
G
G
D000203:Activities of Daily Living; D003953:Diagnosis-Related Groups; D006233:Persons with Disabilities / Q000145:classification*; D006801:Humans; D008134:Long-Term Care; D009732:Nursing Care; D015203:Reproducibility of Results