Health Services Research
Latest posts by Health Services Research (see all)
- Best of the 2015 AcademyHealth Annual Research Meeting - Nov. 23, 2015
- Policy-Oriented Research on Improved Physician Incentives for Higher Value Health Care - Nov. 17, 2015
- Using Patient-Reported Information to Improve Clinical Practice - Nov. 17, 2015
- How Financial and Reputational Incentives Can Be Used to Improve Medical Care - Nov. 17, 2015
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.
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