Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mental dysfunction and resource use in nursing homes

B E Fries1, D R Mehr, D Schneider

  • 1Institute of Gerontology, University of Michigan, Ann Arbor 48109-2007.

Medical Care
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Adults with Down syndrome: a comprehensive approach to manage complexity.

Journal of intellectual disability research : JIDR·2019
Same author

Validating the Mental Health Assessment Protocols (MHAPs) in the Resident Assessment Instrument Mental Health (RAI-MH).

Journal of psychiatric and mental health nursing·2009
Same author

A review of evidence on the reliability and validity of Minimum Data Set data.

Healthcare management forum·2008
Same author

Benefits and pitfalls of pooling datasets from comparable observational studies: combining US and Dutch nursing home studies.

Palliative medicine·2008
Same author

Dementia severity, decline and improvement after a lower respiratory tract infection.

The journal of nutrition, health & aging·2007
Same author

[Treatment of pneumonia in nursing home residents with severe dementia: for residents with poor prognosis, a more reserved approach in The Netherlands and more active treatment in the United States].

Nederlands tijdschrift voor geneeskunde·2007
Same journal

Hepatitis C Virus Cascade of Care in Florida Emergency Departments.

Medical care·2026
Same journal

Association of Neighborhood Socioeconomic Disadvantage and Uptake of Diabetes Prevention Interventions.

Medical care·2026
Same journal

Machine Learning for Evaluating the Heterogeneous Effects of Intensive In-Hospital Rehabilitation During the Postacute Phase After Hip Fracture Surgery on Activities of Daily Living.

Medical care·2026
Same journal

Hospital-Physician Integration and Differences in the Use of Orthopedic Care Across Race and Ethnicity.

Medical care·2026
Same journal

Temporal Misalignment and Selection Bias in "Burn Pit Smoke Exposure and Sleep Apnea in US Veterans.

Medical care·2026
Same journal

The Impact of an Oncology Hospital at Home Program on Health Care Costs.

Medical care·2026
See all related articles

Mental health conditions like dementia and depression impact nursing home resource use, but their predictive power varies. The RUG-III system now categorizes cognitively impaired residents, improving care potential.

Area of Science:

  • Gerontology
  • Health Services Research
  • Psychiatry

Background:

  • Nursing home case-mix classification systems have controversially addressed mental disorders.
  • A new system was developed to assess staff time and facility payment based on resident needs.

Purpose of the Study:

  • To evaluate the role of mental dysfunctions in predicting nursing home resource utilization.
  • To inform the development of a new case-mix measurement system for facility payment.

Main Methods:

  • Collected nursing staff time and resident assessment data for 6,663 residents across 6 states.
  • Developed measures for cognitive impairment (dementia), depression, and delirium using the National Minimum Data Set.
  • Analyzed if mental dysfunction measures predicted resource use (staff time, costs) when controlling for other factors.

Related Experiment Videos

Main Results:

  • Cognitive impairment was linked to higher staff time in less physically impaired residents without severe medical issues or heavy rehabilitation.
  • Depression and delirium showed increased resource use only in specific resident subgroups.
  • Delirium measures were not found to be useful in explaining resource use.

Conclusions:

  • The Resource Utilization Groups Version III (RUG-III) incorporates a category for cognitively impaired residents not dependent in Activities of Daily Living.
  • Depression helps differentiate subgroups with major medical conditions.
  • While mental dysfunction case-mix groups can improve care, careful consideration of incentives and documentation is crucial.