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. 2013 Jun;48(3):1215-26.
doi: 10.1111/1475-6773.12015. Epub 2012 Dec 3.

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

Kali S Thomas  1 , Vincent Mor
Affiliations

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

Kali S Thomas et al. Health Serv Res. 2013 Jun.

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.

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Figures

Figure 1
Figure 1
Average Expenditures on Title III Personal Care, Homemaker, Chores, Home-Delivered Meals, Adult Day Care, and Case Management Services per 1,000 65+ (2000–2009)
See this image and copyright information in PMC

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References

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