The relationship between older Americans Act Title III state expenditures and prevalence of low-care nursing home residents.
Ontology highlight
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 | 2013 Jun
REPOSITORIES: biostudies-literature
Publications
The relationship between older Americans Act Title III state expenditures and prevalence of low-care nursing home residents.
Thomas Kali S KS Mor Vincent V
Health services research 20121203 3
<h4>Objective</h4>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).<h4>Study design</h4>Using a two-way fixed effects model, we examined the relationship between state spending on OAA services and the percentage of ...[more]
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