Assisted Living Expansion and the Market for Nursing Home Care
Assisted Living Expansion and the Market for Nursing Home Care
复制标题
DOI：
10.1111/j.1475-6773.2012.01425.x
复制
发表时间：
2012-12-01
影响因子：
3.4
通讯作者：
Cornell, Portia Y.
中科院分区：
文献类型：
--
作者：
Grabowski, David C.;Stevenson, David G.;Cornell, Portia Y.
目的分析辅助生活供给市场化程度的变化对养老院利用率和居民视力的影响。从1993年到2007年，从13个州收集了关于一段时间内辅助生活供应的主要数据，并与来自在线调查认证和报告系统的养老院级数据和来自地区资源文件的市场级信息合并。研究设计最小二乘回归规范，包括市场和时间固定效应。主要调查结果：辅助生活能力增加10%，导致私人支付养老院入住率下降1.4%，患者病情恶化率增加0.20.6%。结论辅助生活作为一个潜在的替代养老院护理的一些健康的人有更多的财政资源，建议政策制定者，供应商和消费者的影响。
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 0.20.6 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.