Modelling Decisions of a Multidisciplinary Panel for Admission to Long-term Care

Overview

Journal Health Care Manag Sci

Specialty Health Services

Date 2002 Nov 20

PMID 12437278

Authors

H Xie

T J Chaussalet

W A Thompson

P H Millard

Affiliations

Soon will be listed here.

Abstract

This paper describes a modelling study of a multidisciplinary review panel which is responsible for matching levels of long-term care to the needs of older people. The study aims to understand the decision making process of the review panel and to predict placement decisions based on an applicant's attributes. Data were collected from cases notes presented to the London Borough of Merton review panel. A model predicting placement of an individual to residential home, nursing home or long-stay nursing care was built using logistic regression. and correctly predicts 78% of placement decisions. The model can be used as a means of checking the consistency of the review panel's placement decisions.

References

Miller E, Weissert W . Predicting elderly people's risk for nursing home placement, hospitalization, functional impairment, and mortality: a synthesis. Med Care Res Rev. 2000; 57(3):259-97. DOI: 10.1177/107755870005700301. View

Primrose W, Hamilton B, Muir K . Long stay care and the NHS. Multidisciplinary assessment is needed. BMJ. 1999; 318(7184):668. PMC: 1115102. DOI: 10.1136/bmj.318.7184.668. View

Davey J . Exploring shared options in funding long-term care for older people. Health Soc Care Community. 2001; 6(3):151-157. DOI: 10.1046/j.1365-2524.1998.00111.x. View

Quartararo M, Glasziou P, Kerr C . Classification trees for decision making in long-term care. J Gerontol A Biol Sci Med Sci. 1995; 50(6):M298-302. DOI: 10.1093/gerona/50a.6.m298. View

McCormack B . Community care for elderly people. Will improve only when there are national standards and explicit funding. BMJ. 1998; 317(7158):552-3. PMC: 1113790. DOI: 10.1136/bmj.317.7158.552. View

Hennessy C . Modeling case management decision-making in a consolidated long-term care program. Gerontologist. 1993; 33(3):333-41. DOI: 10.1093/geront/33.3.333. View

Black D, Bowman C . Community institutional care for frail elderly people. BMJ. 1997; 315(7106):441-2. PMC: 2127311. DOI: 10.1136/bmj.315.7106.441. View

Warden J . Long-term care pushed on to NHS. BMJ. 1995; 311(7018):1454. DOI: 10.1136/bmj.311.7018.1454. View

Lewis H, Wistow G, Abbott S, Cotterill L . Continuing health care: the local development of policies and eligibility criteria. Health Soc Care Community. 2001; 7(6):455-463. View

10.

Lette J, Colletti B, Cerino M, McNamara D, Eybalin M, Levasseur A . Artificial intelligence versus logistic regression statistical modelling to predict cardiac complications after noncardiac surgery. Clin Cardiol. 1994; 17(11):609-14. DOI: 10.1002/clc.4960171109. View

11.

Turrell A, Castleden C, Freestone B . Long stay care and the NHS: discontinuities between policy and practice. BMJ. 1998; 317(7163):942-4. PMC: 1113989. DOI: 10.1136/bmj.317.7163.942. View

12.

Mukherjee D, Newton H, Howard D . Community institutional care for frail elderly people. A multidisciplinary, multiagency approach should be the rule. BMJ. 1998; 316(7133):780-1. View

13.

Mehta C, Patel N . Exact logistic regression: theory and examples. Stat Med. 1995; 14(19):2143-60. DOI: 10.1002/sim.4780141908. View