Health Services Research
Latest posts by Health Services Research (see all)
- Income Dynamics and the Affordable Care Act - Oct. 20, 2014
- Payment Rates for Personal Care Assistants and the Use of Long-Term Services and Supports among… - Oct. 18, 2014
- Development of a Novel, Objective Measure of Health Care–Related Financial Burden for U.S…. - Oct. 18, 2014
- Population-Level Cost-Effectiveness of Implementing Evidence-Based Practices into Routine Care - Oct. 18, 2014
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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