| |
Centre for Policy on Ageing | |
 | |
|
Rebalance without the balance
— a research note on the availability of community-based services in areas where nursing homes have closed | | Author(s) | Denise A Tyler, Mary L Fennell |
| Journal title | Research on Aging, vol 39, no 5, June 2017 |
| Publisher | Sage, June 2017 |
| Pages | pp 597-611 |
| Source | journals.sagepub.com/home/roa |
| Keywords | Care homes ; Nursing homes ; Closure ; Home care services ; Community care ; Evaluation ; Rural areas ; Longitudinal surveys ; United States of America. |
| Annotation | Policies to 'rebalance' funding away from nursing homes and toward home and community-based services (HCBS) in the United States have encouraged national trends of nursing home closure and an expansion of the HCBS industry. These changes are unfolding without a clear understanding of what services are available at the local level. The purpose of this study was: (1) to describe the current distribution of community-based services (CBS) in areas where nursing homes have closed and (2) to examine differences in availability of CBS using local market and population characteristics as regressors in a multinomial logistic model.The authors collected data on and geocoded CBS facilities and then used ArcGIS to define a five-mile radius around all nursing homes that closed between 2006 and 2010 and compared these local market areas. In rural areas, availability of CBS does not appear to compensate for nursing home closures. Policies encouraging HCBS may be outpacing availability of CBS, especially in rural areas. (JL). |
| Accession Number | CPA-170616210 A |
| Classmark | KW: LHB: 5YW: NH: PA: 4C: RL: 3J: 7T |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|