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The Method for Assigning Priority Levels (MAPLe): a new decision-support system for allocating home care resources.

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  • المؤلفون: Hirdes JP;Hirdes JP; Poss JW; Curtin-Telegdi N
  • المصدر:
    BMC medicine [BMC Med] 2008 Mar 26; Vol. 6, pp. 9. Date of Electronic Publication: 2008 Mar 26.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't; Validation Study
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101190723 Publication Model: Electronic Cited Medium: Internet ISSN: 1741-7015 (Electronic) Linking ISSN: 17417015 NLM ISO Abbreviation: BMC Med Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: [London] : BioMed Central, 2003-
    • الموضوع:
      Decision Support Systems, Clinical* ; Health Care Rationing* ; Home Care Services*/economics ; Nursing Homes*; Algorithms ; Caregivers/psychology ; Health Services Accessibility ; Homes for the Aged ; Humans ; Ontario ; Patient Selection ; Psychometrics
    • نبذة مختصرة :
      Background: Home care plays a vital role in many health care systems, but there is evidence that appropriate targeting strategies must be used to allocate limited home care resources effectively. The aim of the present study was to develop and validate a methodology for prioritizing access to community and facility-based services for home care clients.
      Methods: Canadian and international data based on the Resident Assessment Instrument - Home Care (RAI-HC) were analyzed to identify predictors for nursing home placement, caregiver distress and for being rated as requiring alternative placement to improve outlook.
      Results: The Method for Assigning Priority Levels (MAPLe) algorithm was a strong predictor of all three outcomes in the derivation sample. The algorithm was validated with additional data from five other countries, three other provinces, and an Ontario sample obtained after the use of the RAI-HC was mandated.
      Conclusion: The MAPLe algorithm provides a psychometrically sound decision-support tool that may be used to inform choices related to allocation of home care resources and prioritization of clients needing community or facility-based services.
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    • الموضوع:
      Date Created: 20080328 Date Completed: 20080508 Latest Revision: 20211020
    • الموضوع:
      20240829
    • الرقم المعرف:
      PMC2330052
    • الرقم المعرف:
      10.1186/1741-7015-6-9
    • الرقم المعرف:
      18366782