Kali S Thomas1. 1. Brown University, Providence, RI, USA.
Abstract
OBJECTIVE: The aim of the study was to investigate the relationship between supportive services provided under Title III-B of the Older Americans Act (OAA) and the prevalence of low-care residents in nursing homes (NHs). METHOD: State Program Reports (state-level expenditure and utilization data for each OAA service) and NH facility-level data were analyzed using a two-way fixed effects model. RESULTS: Results suggest that every additional 1% of the population age 65+ that receives personal care services is associated with a 0.8% decrease in the proportion of low-care residents in NHs. DISCUSSION: Despite efforts to rebalance long-term care, there are still many NH residents who have the functional capacity to live in a less restrictive environment. This is among the first studies to suggest that states that have invested in their in-home supportive services, particularly personal care services provided through the OAA, have proportionally fewer of these people.
OBJECTIVE: The aim of the study was to investigate the relationship between supportive services provided under Title III-B of the Older Americans Act (OAA) and the prevalence of low-care residents in nursing homes (NHs). METHOD: State Program Reports (state-level expenditure and utilization data for each OAA service) and NH facility-level data were analyzed using a two-way fixed effects model. RESULTS: Results suggest that every additional 1% of the population age 65+ that receives personal care services is associated with a 0.8% decrease in the proportion of low-care residents in NHs. DISCUSSION: Despite efforts to rebalance long-term care, there are still many NH residents who have the functional capacity to live in a less restrictive environment. This is among the first studies to suggest that states that have invested in their in-home supportive services, particularly personal care services provided through the OAA, have proportionally fewer of these people.
Entities:
Keywords:
home and community-based services; long-term care; nursing homes
Authors: Vincent Mor; Jacqueline Zinn; Pedro Gozalo; Zhanlian Feng; Orna Intrator; David C Grabowski Journal: Health Aff (Millwood) Date: 2007 Nov-Dec Impact factor: 6.301
Authors: Huiping Xu; Michael Weiner; Sudeshna Paul; Joseph Thomas; Bruce Craig; Marc Rosenman; Caroline Carney Doebbeling; Laura P Sands Journal: J Am Geriatr Soc Date: 2009-12-09 Impact factor: 5.562