Predicting Nursing Home Utilization Among the High-Risk Elderly / Alan M. Garber, Thomas E. MaCurdy.

Format:

Book

Author/Creator:

Garber, Alan M.

Contributor:

National Bureau of Economic Research.

MaCurdy, Thomas E.

Series:

Working Paper Series (National Bureau of Economic Research) no. w2843.

NBER working paper series no. w2843

Language:

English

Physical Description:

1 online resource: illustrations (black and white);

Place of Publication:

Cambridge, Mass. National Bureau of Economic Research 1989.

Summary:

This paper explores the influence of various characteristics on nursing home utilization. It examines a targeted population of elderly individuals whose poor health and lack of social supports were expected to lead to heavy use of long-term care. We develop an empirical framework based on a transition probability model to describe the frequency and duration of nursing home admissions. Using longitudinal data on the high-risk elderly enrollees of the National Long-Term Care Demonstration ("Channeling" demonstration), we. find that a small set of characteristics distinguish individuals who are likely to be heavy utilizers of nursing homes from low utilizers. The factors associated with a high likelihood of institutionalization are not identical to the health characteristics associated with high mortality; for example, the likelihood of death increases with age, but nursing home utilization does not, when functional status and other characteristics are held constant. A somewhat healthier population might have used nursing homes more heavily than the Channeling participants, whose nursing home utilization was limited by high mortality.

Notes:

Print version record

February 1989.