Science Links Japan | Development of a tree model that allows simple estimation of the required care level using the items of the basic investigation of Long-term care insurance.

Development of a tree model that allows simple estimation of the required care level using the items of the basic investigation of Long-term care insurance.

Accession number;02A0827141

Title;Development of a tree model that allows simple estimation of the required care level using the items of the basic investigation of Long-term care insurance.

Author; SAKAI YASUICHI (Kyotohigashiyamaronensanatoriumu) MORI SATORU (Kyotofuidai Nokekkankeirokakense Shinkeinaika Ronennaika) NAKAJIMA KENJI (Kyotofuidai Nokekkankeirokakense Shinkeinaika Ronennaika)

Journal Title;Japanese Journal of Geriatrics

Journal Code:Z0680A

ISSN:0300-9173

VOL.39;NO.5;PAGE.537-544(2002)

Figure&Table&Reference;FIG.2, TBL.4, REF.6

Pub. Country;Japan

Language;Japanese

Abstract;In long-term care insurance, the required care level of the disabled elderly is calculated from the results of the basic investigation. However, this calculation involves complex mathematical processes, and the estimation of the required care level at small facilities is difficult. We, therefore, developed a tree model that allows simple estimation of the required care level from the state of noticeable disabilities in daily activities. The model was prepared separately for dementia and physical disabilities. From the patients being cared for at Higashiyama Geriatric Hospital for the Elderly who had undergone primary rating, a total of 240 individuals consisting of 20 each in each of the 6 required care levels for both dementia and physical disabilities were selected, and the results of their primary rating were reviewed. "Putting on and taking off a jacket" and "care after urination", in which the required care levels increase relatively consistently as the investigation items progressed from those for "independent" to those for "totally assisted", were selected as the first selection items in dementia and physical disability models respectively. In a dementia model, the state of "putting on and taking off a jacket" and "care after urination" were matched for various required care levels as follows: "Independent".RAR.assistance needed, "observation needed" and "independent" in "standing up".RAR.required care level 1, "observation needed" and "not independent" in "standing up".RAR.required care level 2, "partly assisted".RAR.required care level 3, "totally assisted" and "not totally assisted" in "eating".RAR.required care level 4, and "totally assisted" and "totally assisted" in "eating".RAR.required care level 5.... (author abst.)

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