Year: 2012
Type: article
Abstract: OBJECTIVE: To analyze the effect of market-level changes in assisted living supply on nursing home utilization and resident acuity. DATA SOURCES: Primary data on the supply of assisted living over time were collected from 13 states from 1993 through 2007 and merged with nursing home-level data from the Online Survey Certification and Reporting System and market-level information from the Area Resource File. STUDY DESIGN: Least squares regression specification incorporating market and time-fixed effects. PRINCIPAL FINDINGS: A 10 percent increase in assisted living capacity led to a 1.4 percent decline in private-pay nursing home occupancy and a 0.2-0.6 percent increase in patient acuity. CONCLUSIONS: Assisted living serves as a potential substitute for nursing home care for some healthier individuals with greater financial resources, suggesting implications for policy makers, providers, and consumers.
Source: Health Services Research
Institution: Harvard University
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
Funder: Robert Wood Johnson Foundation
OpenAlex ID: W2154610560