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Centre for Policy on Ageing | |
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Access to community-based long-term care
— Medicaid's role | | Author(s) | Nancy A Miller, Charlene Harrington, Elizabeth Goldstein |
| Journal title | Journal of Aging and Health, vol 14, no 1, February 2002 |
| Pages | pp 138-159 |
| Keywords | Community care ; Health services ; Long term ; Accessibility ; United States of America. |
| Annotation | The authors explore variations in expenditure by US state for Medicaid community-based care services for the period 1990 to 1997. A random effects panel model is used to explore the relationship between state demographic, supply, economic, programmatic and political factors and states' Medicaid community-based care expenditure. Although states increased provision of services over the study period, significant state-level variation was evident. Expenditure was positively associated with state per capita income, regulation of nursing home bed supply and the number of Medicare home health users, but were negatively related to nursing home bed supply. Recent legal rulings, combined with the demonstrated preferences of most individuals to receive care in the community, require policies to foster the expansion of Medicaid community-based care. The most consistent relationships that are amenable to policy intervention related to state fiscal resources and long-term care supply regulation. (KJ/RH). |
| Accession Number | CPA-020416242 A |
| Classmark | PA: L: 4Q: 5CA: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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