A system of patient classification in long‐term sychiatric inpatients: Resource Utilization Groups T‐18 (RUG T‐18)

Abstract

The RUG T-18 system should be improved to become a useful case mix system in long-term psychiatric inpatients. The high variance intragroups could be minimized improving the psychopathological aspects of the system.

Patient and social work factors related to successful placement of long-term psychiatric in-patients from a specialist psychiatric hospital in South Africa

“…Rather, both the problem and the solution lie mostly outside of the psychiatric hospitals. 45,46 Since the future development of community mental health services in South Africa falls outside of the scope of this article, suffice it to mention that it might occur by channeling new funds into community care (in addition to hospital care) 23 , moving funds from hospital care and reallocating it to community care 1,41 , or improving the quality of accommodation for long-term patients in the hospital context, such as has been done in the Netherlands where most long-term psychiatry patients are accommodated in ordinary housing on or around the premises of psychiatric hospitals. 17 An example of the latter approach has also been implemented locally at Weskoppies Hospital in the form of an independent living unit on the hospital premises, where the occupants (although classified as out-patients) use inpatient accommodation, linen and food supplies that they prepare themselves.…”

Sistema de classificação de pacientesna enfermagem psiquiátrica: validação clínica

“…Este raciocí-nio provocou o desenvolvimento de estudos em diversos países como EUA, Canadá, Espanha, entre outros, desde meados da década de 80 do século XX (5)(6)(7) .…”

“…Em recente publicação, o Resource Utilization Groups -RUG T18 teve sua capacidade preditiva descrita e analisada, após implementação em unidades de internação psiquiátrica, na comunidade de Astúrias, na Espanha (7) .…”

Interrater reliability of client categorization system as a psychiatric status rating scale in measuring psychiatric patients’ health status

“…6 In addition, classification systems can also be used as the basis for determining the length of time needed to care for patients and as a tool to measure the workload of nurses. 7,8 Patient classification systems that were previously developed include the Nursing Patient Classification Form, the GRASP system, the Patient Classification System (PCS), the Patient Classification system, and the Resource Utilization Groups T-18 (RUG T-18). 1,[6][7][8][9][10] Although various classification systems have been developed, the application of them have been deemed unsatisfactory as they have failed to address the critical needs of patients.…”

“…7,8 Patient classification systems that were previously developed include the Nursing Patient Classification Form, the GRASP system, the Patient Classification System (PCS), the Patient Classification system, and the Resource Utilization Groups T-18 (RUG T-18). 1,[6][7][8][9][10] Although various classification systems have been developed, the application of them have been deemed unsatisfactory as they have failed to address the critical needs of patients. 11 Patient classification systems such as those mentioned above are intended to depict the needs of patients in regard to healthcare and not for measuring the provision or quantity of nursing duties based on the average time required for treatments.…”