Home care score predicts the advisability of home care when it is difficult to predict it using the functional independence measure score

Abstract

Purpose: The aim of this study was to assess the role of the sub score of the home care score for the prediction of advisability of home care and to assess whether the it is useful for prediction when it is difficult to draw a high-precision prediction using the functional independence measure. Methods: In total, 148 subjects living at their home or in assisted-living facilities were analyzed. A binominal logistic regression analysis was conducted for all patients and a receiver operating characteristic analysis was conducted on the home care score of patients with a functional independence score ranging from 37-90, because, in this group, the ratio of home care was approximately 50 %. Result: Availability of a care provider, care provider's motivation, bedroom availability, home environment, and verbal communication skills were selected for the binomial logistic regress analysis on the sub items of the home care score for the prediction. The receiver operating characteristic analysis revealed that the area under the curve was 0.89 and the optimal cutoff point was 11 (n=53). Using the optimal cutoff points, sensitivity was 0.65, specificity was 1.0, and positive predictive value was 1.0. Conclusion: The home care score is useful for the prediction of advisability of home care when it is difficult to predict the same using the score of the functional independence measure. Additionally, the care provider's condition is important for home care.