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Using the handicap code of the ICIDH for classifying patients by intensity of nursing care requirements
C Tilquin1, P Michelon, W D'Hoore
1ROSES-Recherches OpérationnelleS En Santé, Département d'administration de la santé, Université de Montréal, Canada.
Abstract:
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.
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