Predicting the Course of Nursing Home Patients

A Progress Report

by Robert L. Kane, Sandra Z. Riegler, Robert M. Bell, Roslyn Potter, Gail Koshland


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Summarizes RAND's progress in developing an evaluation instrument that can capture the multidimensional functioning of nursing home patients. It traces the several steps through which the questionnaire has evolved. The final product is a fieldable instrument with levels of reliability adequate to define outcomes in several domains: Activities of Daily Living, Affect, Cognition, Social Activity, Pain/Discomfort, and Satisfaction. Inter-Interviewer (test/retest) reliabilities are generally 0.8 or greater. This instrument is the basis of an ongoing study in predicting the course of nursing home patients. The goal is to offer a new system of payment for long-term care based on rewarding the achievement of predicted outcomes.

This report is part of the RAND Corporation Note series. The note was a product of the RAND Corporation from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

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