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Centre for Policy on Ageing | |
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Time to nursing home admission for persons with Alzheimer's disease
— the effect of health care system characteristics | | Author(s) | Susan C Miller, Thomas R Prohaska, Sylvia E Furner |
| Journal title | The Journals of Gerontology Series B: Psychological sciences and social sciences, vol 53B, no 6, November 1998 |
| Pages | pp S341-S353 |
| Keywords | Dementia ; Admission [nursing homes] ; Health services ; Home nursing ; Cross national surveys ; United States of America. |
| Annotation | The evaluation of the association between US state long-term care (LTC) system characteristics and nursing home admission (NHA) for those with Alzheimer's disease (AD) is used to examine state policies on access to LTC. Up to nine years of Consortium to Establish a Registry for Alzheimer's Disease (CERAD) data on 639 non-Latino whites were merged with longitudinal data from the 28 states in which CERAD participants lived. The state variables reflected characteristics of each state's LTC system, including Medicaid LTC spending practices and the supply of LTC providers. Cox Proportional Hazards Models with time-varying co-variates were used to evaluate the risk factors associated with time to NHA. There was differential influence of state variables by marital status. For unmarried non-Latino whites with AD, a higher percentage of Medicaid LTC spending on home and community-based services (HCBS) was significantly associated with a longer time to NHA. Other associations also varied by marital status. Study findings support the utility of continued expanded provision of HCBS by states and provide a basis for future research on the impact of changing state health care systems on LTC use for those with AD. (RH). |
| Accession Number | CPA-990304012 A |
| Classmark | EA: LHB:QKH: L: N4: 3K: 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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