Kali S Thomas 1 , Vincent Mor Show Affiliations »
Abstract
OBJECTIVE: To test the relationship between older Americans Act (OAA) program expenditures and the prevalence of low-care residents in nursing homes (NHs). DATA SOURCES AND COLLECTION: Two secondary data sources: State Program Reports (state expenditure data) and NH facility-level data downloaded from LTCfocUS.org for 16,030 US NHs (2000-2009). STUDY DESIGN: Using a two-way fixed effects model, we examined the relationship between state spending on OAA services and the percentage of low-care residents in NHs, controlling for facility characteristics, market characteristics, and secular trends. PRINCIPAL FINDINGS: Results indicate that increased spending on home-delivered meals was associated with fewer residents in NHs with low-care needs. CONCLUSIONS: States that have invested in their community-based service networks, particularly home-delivered meal programs, have proportionally fewer low-care NH residents. © Health Research and Educational Trust.
OBJECTIVE: To test the relationship between older Americans Act (OAA) program expenditures and the prevalence of low-care residents in nursing homes (NHs). DATA SOURCES AND COLLECTION: Two secondary data sources: State Program Reports (state expenditure data) and NH facility-level data downloaded from LTCfocUS.org for 16,030 US NHs (2000-2009). STUDY DESIGN: Using a two-way fixed effects model, we examined the relationship between state spending on OAA services and the percentage of low-care residents in NHs, controlling for facility characteristics, market characteristics, and secular trends. PRINCIPAL FINDINGS: Results indicate that increased spending on home-delivered meals was associated with fewer residents in NHs with low-care needs. CONCLUSIONS: States that have invested in their community-based service networks, particularly home-delivered meal programs, have proportionally fewer low-care NH residents. © Health Research and Educational Trust.
Entities: Chemical
Disease
Species
Mesh： See more »
Year: 2012
PMID： 23205536 PMCID： PMC3664926 DOI： 10.1111/1475-6773.12015
Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402