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Modeling lifetime nursing home use under assumptions of better health
Author(s)Sarah B Laditka
Journal titleThe Journals of Gerontology Series B: Psychological sciences and social sciences, vol 53B, no 4, July 1998
Pagespp S177-S187
KeywordsHealth [elderly] ; Life expectancy tables ; Independence ; Admission [nursing homes] ; Discharge [nursing homes] ; United States of America.
AnnotationThere is evidence of notable improvement in active life expectancy among older Americans. Little is known, however, about the effect of better health on lifetime nursing home use, and this study considers this gap in our knowledge. Discrete-time hazard models of nursing home admission and discharge were developed using data from the 1982, 1984, and 1989 National Long Term Care Surveys and the 1984-1990 US Longitudinal Study of Aging. Microsimulation techniques were used to incorporate monthly functional status information into the models that predict nursing home use and to generate lifetime nursing home histories for a cohort of older men and women under various assumptions of improved morbidity. Improved health increased total life expectancy and the absolute amount of time spent in nursing homes. Better health did not change the proportion of life older people spent in nursing homes or the percentage of the cohort who entered nursing homes. If morbidity improves, nursing home use will increase. However, for most older people, better health will be associated with more independent living throughout the life span. (RH).
Accession NumberCPA-980903240 A
ClassmarkCC: S7: C3: LHB:QKH: LHB:QKJ: 7T

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