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. 2012 Dec;47(6):2296-315.
doi: 10.1111/j.1475-6773.2012.01425.x. Epub 2012 May 11.

Assisted living expansion and the market for nursing home care

David C Grabowski  1 , David G Stevenson, Portia Y Cornell
Affiliations

Assisted living expansion and the market for nursing home care

David C Grabowski et al. Health Serv Res. 2012 Dec.

Abstract

Objective: To analyze the effect of market-level changes in assisted living supply on nursing home utilization and resident acuity.

Data sources: Primary data on the supply of assisted living over time were collected from 13 states from 1993 through 2007 and merged with nursing home-level data from the Online Survey Certification and Reporting System and market-level information from the Area Resource File.

Study design: Least squares regression specification incorporating market and time-fixed effects.

Principal findings: A 10 percent increase in assisted living capacity led to a 1.4 percent decline in private-pay nursing home occupancy and a 0.2-0.6 percent increase in patient acuity.

Conclusions: Assisted living serves as a potential substitute for nursing home care for some healthier individuals with greater financial resources, suggesting implications for policy makers, providers, and consumers.

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Transitions among Long-Term-Care Options
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