Dataset Information

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

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.

SUBMITTER: Thomas KS

PROVIDER: S-EPMC3664926 | biostudies-literature |

REPOSITORIES: biostudies-literature

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