Risk of Nursing Home Admission Among Older Americans: Does States' Spending on Home- and Community-Based Services Matter?

Muramatsu, Naoko; Yin, Hongjun; Campbell, Richard T.; Hoyem, Ruby L; Jacob, Martha A.; Ross, Christopher O.

doi:10.1093/geronb/62.3.s169

Cited by 111 publications

(117 citation statements)

References 32 publications

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“…Nonetheless, papers by Egleston et al (1999) and Muramatsu et al (2007) indicate state spending on home help services was associated with both lower risk of nursing home placement, and placement of individuals with greater levels of functional impairment, especially for those living alone. Analyses by Muramatsu and Campbell (2002) further support the idea that state expenditures predict individual care mix in the community with those having greatest impairment most affected by low state expenditures.…”

Section: Measures Of Potential Availability Of Servicesmentioning

confidence: 99%

Home help services in Sweden: responsiveness to changing demographics and needs

et al. 2008

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Decreases in Swedish home help services have not resulted in increased rates of unmet need. To understand these changes, we identified predictors of home help services and rates of institutional care and how these effects changed over time using longitudinal data (1994-2000) from 286 Swedish municipalities. Outcomes were home help coverage rates, intensity of home help per recipient, and rates of institutional living. Predictors reflected availability and need for services. Services decreased over time, but not uniformly. Coverage rates were higher in municipalities with a greater proportion of population 65 and older and greater proportion of unmarried elders. Decreases in coverage rates were greater in municipalities with a higher proportion of unmarried elders, greater ratio of older women to men, with more home help staff workers, and more expensive services. Home help was provided more intensively in municipalities with higher median incomes, higher unemployment rates and municipalities spending more per inhabitant on child care. Decreases in intensity were greater in municipalities with lower proportions of unmarried elders and fewer home help staff workers. Rates of institutional living were higher in municipalities that spent more on old age services and with a greater proportion of unmarried elders. Decreases in institutionalization were greater in municipalities with a greater proportion of unmarried elders and lower ratio of older women to men. Variability in how municipalities responded to these changes may explain continued low rates of unmet need. Results are consistent with both increased efficiency and more effective targeting, but cannot capture service quality.

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Section: Measures Of Potential Availability Of Servicesmentioning

confidence: 99%

Home help services in Sweden: responsiveness to changing demographics and needs

et al. 2008

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“…In acute care and rehabilitation, physicians, nurses, and allied health professionals (e.g., occupational therapists, physiotherapists, social workers, and speech language pathologists) provide substantial care for patients. In contrast, when stroke survivors return home, family members often assume the role of caregiver due to the limited availability of communitybased formal health care services [6,37,38]. Changes in care received by patients across care environments are mirrored in corresponding changes in the roles of caregivers.…”

Section: Introductionmentioning

confidence: 99%

“Timing It Right”: A conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home

Cameron

Gignac

2008

Patient Education and Counseling

233

238

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“…A strong set of health measurements is necessary to avoid endogeneity among home care use, LTCI ownership, and death (Muramatsu et al 2007). The number of ADLs and the number of IADLs (instrumental limitations in activities of daily life) were included in the model to indicate the severity of functional disability.…”

Section: Empirical Modelmentioning

confidence: 99%

The Effect of Long-Term Care Insurance on Home Care Use Among the Disabled Elders

2012

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Risk of Nursing Home Admission Among Older Americans: Does States' Spending on Home- and Community-Based Services Matter?

Abstract: Results provided modest but important evidence supportive of increasing state investment in HCBS. Within-state allocation of HCBS resources, however, requires further research and careful consideration about fairness for individual seniors and their families as well as cost effectiveness.

Cited by 111 publications

References 32 publications

Home help services in Sweden: responsiveness to changing demographics and needs

Home help services in Sweden: responsiveness to changing demographics and needs

“Timing It Right”: A conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home

The Effect of Long-Term Care Insurance on Home Care Use Among the Disabled Elders

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