Does Assisted Living Capacity Influence Case Mix at Nursing Homes?
Does Assisted Living Capacity Influence Case Mix at Nursing Homes?
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DOI：
10.1177/2333721415587449
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发表时间：
2015-01
影响因子：
2.7
通讯作者：
Khushalani J
中科院分区：
文献类型：
--
作者：
Clement JP;Khushalani J
在过去的几十年里，辅助生活设施（ALFs）越来越多。如果他们吸引了远离养老院（NHs）的低护理需求的居民，NHs可能会留下更高的病例混合居民。我们研究了一个州（弗吉尼亚州）的ALF床市场容量和NH病例组合之间的关系，其中ALF床容量在一段时间的增长后趋于稳定。同样，NH的容量和使用也保持稳定。虽然为了规划的目的，研究不断变化的市场很有趣，但研究动荡和适应时期之后会发生什么也很重要。我们的研究结果表明，在一定程度上ALF替代了NH护理，但与ALF市场容量的关系不是线性的。社区需要考虑ALFs和NHs在规划长期护理服务和支持方面的相互作用。支持ALFs的政策可以使护理需求在比NH更低的成本环境中得到满足。
Assisted living facilities (ALFs) have grown over the past few decades. If they attract residents with lower care needs away from nursing homes (NHs), NHs may be left with higher case mix residents. We study the relationship between ALF bed market capacity and NH case mix in a state (Virginia) where ALF bed capacity stabilized after a period of growth. Similarly, NH capacity and use had been stable. While it is interesting to study markets in flux, for planning purposes, it is also important to examine what happens after periods of turbulence and adaptation. Our findings show some substitution of ALF for NH care, but the relationship is not linear with ALF market capacity. Communities need to consider the interplay of ALFs and NHs in planning for long-term care services and supports. Policies supporting ALFs may enable care needs to be met in a lower cost setting than the NH.