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. 2014 Mar;26(2):250-60.
doi: 10.1177/0898264313513611. Epub 2013 Dec 10.

The relationship between older Americans act in-home services and low-care residents in nursing homes

Kali S Thomas  1
Affiliations

The relationship between older Americans act in-home services and low-care residents in nursing homes

Kali S Thomas. J Aging Health. 2014 Mar.

Abstract

Objective: The aim of the study was to investigate the relationship between supportive services provided under Title III-B of the Older Americans Act (OAA) and the prevalence of low-care residents in nursing homes (NHs).

Method: State Program Reports (state-level expenditure and utilization data for each OAA service) and NH facility-level data were analyzed using a two-way fixed effects model.

Results: Results suggest that every additional 1% of the population age 65+ that receives personal care services is associated with a 0.8% decrease in the proportion of low-care residents in NHs.

Discussion: Despite efforts to rebalance long-term care, there are still many NH residents who have the functional capacity to live in a less restrictive environment. This is among the first studies to suggest that states that have invested in their in-home supportive services, particularly personal care services provided through the OAA, have proportionally fewer of these people.

Keywords: home and community-based services; long-term care; nursing homes.

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Figures

Figure 1
Figure 1. Average number of Older Adults in the State Receiving OAA Title IIIB In-Home Supportive Services
Source: OAA State Program Reports
See this image and copyright information in PMC

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