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Do Community-Based, Long-Term-Care Services Reduce Nursing Home Use? A Transition Probability Analysis

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  • Vernon L. Greene
  • Mary E. Lovely
  • Jan I. Ondrich

Abstract

This study offers logit estimates of the probability of transition from the community to a nursing home based upon data from the National Long-Term-Care Demonstration. It is found that nurses deter entry by those using a wheelchair while home-health aides deter entry for those with cognitive impairments. Personal-care aides and housekeepers reduce admission risk for those with severe functional disabilities. These findings suggest that appropriate targeting of community-based services would improve the degree to which they offset nursing home expenditures.

Suggested Citation

  • Vernon L. Greene & Mary E. Lovely & Jan I. Ondrich, 1993. "Do Community-Based, Long-Term-Care Services Reduce Nursing Home Use? A Transition Probability Analysis," Journal of Human Resources, University of Wisconsin Press, vol. 28(2), pages 297-317.
    • Handle: RePEc:uwp:jhriss:v:28:y:1993:i:2:p:297-317
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    Cited by:

    1. van Bilsen, P.M.A. & Hamers, J.P.H. & Groot, W. & Spreeuwenberg, C., 2008. "The use of community-based social services by elderly people at risk of institutionalization: An evaluation," Health Policy, Elsevier, vol. 87(3), pages 285-295, September.
    2. Arntz, Melanie & Thomsen, Stephan L., 2008. "Crowding out Informal Care? Evidence from a Social Experiment in Germany," ZEW Discussion Papers 08-113, ZEW - Leibniz Centre for European Economic Research.
    3. Arntz Melanie & Thomsen Stephan L., 2010. "Are Personal Budgets a Financially Sound Reform Option for the German Long-Term Care Insurance?," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 230(4), pages 378-402, August.

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