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Alberta Assessment and Placement Instrument. Description and interrater reliability
D A McKenzie1, C F Capuzzi, S J Will
1Community Health Care Systems Department, School of Nursing, Oregon Health Sciences University, Portland.
Medical Care
|October 1, 1989
Summary
Standardizing long-term care patient placement ensures equitable care for individuals with similar needs. A new multidimensional instrument with a decision rule aids placement recommendations across four care levels.
Area of Science:
- Healthcare Management
- Gerontology
- Health Services Research
Background:
- Long-term care placement lacks standardization, leading to inequities for patients with comparable clinical and environmental needs.
- Equitable distribution of resources and care is crucial for vulnerable patient populations in long-term care settings.
Purpose of the Study:
- To introduce a multidimensional instrument for standardizing long-term care patient placement.
- To incorporate a decision rule for placement recommendations across distinct care levels.
- To evaluate the reliability of the assessment instrument and placement decisions.
Main Methods:
- Development of a multidimensional assessment instrument for long-term care patients.
- Inclusion of a decision rule to guide placement recommendations.
- Assessment of interrater reliability for individual assessment items.
- Evaluation of interrater reliability for the proposed placement levels.
Main Results:
- The study reports on the interrater reliability of the assessment items.
- Reliability data for the 4 defined placement levels are presented.
- The instrument provides a standardized approach to placement decisions.
Conclusions:
- The developed instrument offers a standardized method for long-term care patient placement.
- This standardization promotes greater equity among patients with similar care requirements.
- The reported reliability supports the instrument's utility in clinical practice.