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Health Serv Res. 2013 Jun;48(3):1215-26. doi: 10.1111/1475-6773.12015. Epub 2012 Dec 3.

The relationship between older Americans Act Title III state expenditures and prevalence of low-care nursing home residents.

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  • 1Center for Gerontology and Healthcare Research, Brown University, Providence, RI, USA.

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.

PMID:
23205536
[PubMed - indexed for MEDLINE]
PMCID:
PMC3664926
Free PMC Article

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