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The Relationship between Older Americans Act Title III State Expenditures and Prevalence of Low‐Care Nursing Home Residents
Author(s) -
Thomas Kali S.,
Mor Vincent
Publication year - 2013
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12015
Subject(s) - nursing homes , medicine , gerontology , environmental health , medicaid , data collection , minimum data set , nursing , health care , economics , economic growth , statistics , mathematics
Objective To test the relationship between older A mericans A ct ( OAA ) program expenditures and the prevalence of low‐care residents in nursing homes ( NH s). 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 NH s (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 NH s, 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 NH s 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.