Nursing home aversion post-pandemic: Implications for savings and long-term care policy.
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ABSTRACT:
SUBMITTER: Achou B
PROVIDER: S-EPMC9303513 | biostudies-literature | 2022 Sep
REPOSITORIES: biostudies-literature
Publications
Nursing home aversion post-pandemic: Implications for savings and long-term care policy.
Achou Bertrand B De Donder Philippe P Glenzer Franca F Lee Minjoon M Leroux Marie-Louise ML
Journal of economic behavior & organization 20220722
COVID-19 outbreaks at nursing homes during the recent pandemic have received ample media coverage and may have lasting negative impacts on individuals' perception of nursing homes. We argue that this could have sizable and persistent implications for savings and long-term care policies. Our theoretical model predicts that higher nursing home aversion should induce higher savings and stronger support for policies subsidizing home care. Based on a survey of Canadians aged 50 to 69, we document tha ...[more]
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Project description:ObjectiveTo construct a data tool, the Residential History File (RHF), that summarizes information from Medicare claims and nursing home (NH) Minimum Data Set (MDS) assessments to track people through health care locations, including non-Medicare-paid NH stays.Data sourcesOnline Survey of Certification and Reporting (OSCAR) data for 202 free-standing NHs, Medicare Denominator, claims (parts A and B), and MDS assessments for 60,984 people who were present in one of these NHs in 2006.MethodsThe algorithm creating the RHF is outlined and the RHF for the study data are used to describe place of death. The identification of residents in NHs is compared with the reports in OSCAR and part B claims.Principal findingsThe RHF correctly identified 84.8 percent of part B claims with place-of-service in NH, and it identified 18.3 less residents on average than reported in the OSCAR on the day of the survey. The RHF indicated that 17.5 percent non-Medicare NH decedents were transferred to the hospital to die versus 45.6 percent skilled nursing facility decedents.ConclusionsThe population-based design of the RHF makes it possible to conduct policy-relevant research to examine the variation in the rate and type of health care transitions across the United States.
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