Risk of nursing home admission among older americans: Does states' spending on home- and community-based services matter?
Risk of nursing home admission among older americans: Does states' spending on home- and community-based services matter?
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DOI：
10.1093/geronb/62.3.s169
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发表时间：
2007-05-01
影响因子：
6.2
通讯作者：
Ross, Christopher O.
中科院分区：
文献类型：
--
作者：
Muramatsu, Naoko;Yin, Hongjun;Ross, Christopher O.
Objectives. States vary greatly in their support for home- and community-based services (HCBS) that are intended to help disabled seniors live in the community. This article examines how states' generosity in providing HCBS affects the risk of nursing home admission among older Americans and how family availability moderates such effects.Methods. We conducted discrete time survival analysis of first long-term (90 or more days) nursing home admissions that occurred between 1995 and 2002, using Health and Retirement Study panel data from respondent,; born in 1923 or earlier.Results. State HCBS effects were conditional on child availability among older Americans. Living in a state with higher HCBS expenditures was associated with lower risk of nursing home admission among childless seniors (P
