HEALTH, QUALITY OF CARE AND NURSING HOME CHOICE

描述（改编自申请人的摘要）：本申请 研究了需要长期护理的老年人 护理分配给疗养院和影响的 评价个人影响的选择过程， 护理中健康转变与老龄化的养老院特征 家庭怨恨 最近发展的内生住户模式 住宅，确定具体的居民消费 商品作为形成和稳定的重要因素， 住户将适应研究长期设施的市场。 因为使用这种模型的计量经济学分析需要详细的 关于疗养院和疗养院可供选择的选择集的信息， 潜在的居民，调查人员将主要利用数据 从详细的行政记录中导出的数据集， 所有居民和养老院的纵向信息， 州（纽约、密西西比、堪萨斯、南达科他州和缅因州）。 这些 国家正在参加卫生保健融资管理局的 （HCFA）案例组合和质量示范。 居民信息和 新进入者包含在居民评估工具（RAI）中 最小数据集（MDS） 这些数据将与HCFA的 在线调查和认证自动记录（OSCAR）文件， 包含所有Medicare/Medicaid认证的疗养院设施， 我们 该分析将补充来自国家长期- 定期护理调查，以解决潜在的选择问题 形成病人进入疗养院护理市场。 申请期间的研究将包括数据清理， 方法论的进步以及与之相关的初步分析 开发R 01应用程序。

DESCRIPTION (adapted from the applicant's abstract): This application examines the process by which aging individuals in need of long-term care are allocated to nursing homes and the implications of the selection process for the evaluation of the effects of individual and nursing home characteristics on health transition and aging in nursing home resents. Recently developed models of endogenous household residence that identify the consumption of residence-specific public goods as an important factor underlying the formation and stability of households will be adapted to study the market for long-term facilities. Because econometric analysis using this type of model requires detailed information on the choice sets available to both nursing homes and potential residents, the investigators will make primary use of data sets derived from detailed administrative records that provide longitudinal information on all residents and nursing homes in five states (New York, Mississippi, Kansas, South Dakota, and Maine). These states are participating in the Health Care Financing Administration's (HCFA) Case-Mix and Quality Demonstration. Information on residents and new entrants is contained in the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS). These data will be merged with HCFA's Online Survey and Certification Automated Record (OSCAR) file that contains all Medicare/Medicaid certified nursing home facilities in the US. The analysis will be supplemented with data from the National Long- Term Care Survey in order to address potential selection issues arising form the entry of patients into the market for nursing-home care. Research during the application period will consist of data cleaning, methodological advancement, and preliminary analysis relevant to the development of an R01 application.