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

Vernon L. Greene, Mary Lovely and Jan I. Ondrich

Journal of Human Resources, 1993, vol. 28, issue 2, 297-317

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.

Date: 1993
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