Predicting State Investment in Medicaid Home- and Community-Based Services, 2000-2011
Predicting State Investment in Medicaid Home- and Community-Based Services, 2000-2011
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DOI：
10.1080/08959420.2016.1111729
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发表时间：
2016-01-02
影响因子：
5.1
通讯作者：
Kirk, Adele
中科院分区：
文献类型：
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作者：
Miller, Nancy A.;Kirk, Adele
虽然国家使用医疗补助家庭和社区为基础的服务（HCBS），以提供长期的服务和支持，老年人和个人的身体残疾继续增加，进展是不平衡的国家。我们使用广义线性模型来研究与2000年至2011年期间增加医疗补助资金分配给HCBS相关的州因素。我们观察到，在这一时期开始时，对HCBS的投资有限的州的增长有所增强，这反映在这些州的重要年度趋势中。政治环境似乎是一个重要的影响，对国家的投资有限的初步分配给HCBS的国家，是住房负担能力，一个政策上可行的变量。各国的相对投资仍然存在很大差异，需要更多的政策关注和研究。
Although state use of Medicaid home- and community-based services (HCBS) to provide long-term services and supports to older adults and individuals with physical disabilities continues to increase, progress is uneven across states. We used generalized linear models to examine state factors associated with increased allocation of Medicaid dollars to HCBS for the period 2000 to 2011. We observed enhanced growth in states that began the period with limited investment in HCBS, as reflected in significant year trends among these states. The political environment appeared to be an important influence on states' investment for states with limited initial allocation to HCBS, as was housing affordability, a policy amenable variable. There continues to be wide variation in states' relative investment, calling for additional policy attention and research.