Thomas Kali S, Keohane Laura, Mor Vincent
Kali S. Thomas and Vincent Mor are with the Department of Veterans Affairs Medical Center, and Center for Gerontology and Healthcare Research, Brown University, Providence, RI. Laura Keohane is with the Department of Health Services, Policy, and Practice, Brown University.
Am J Public Health. 2014 Nov;104(11):e15-7. doi: 10.2105/AJPH.2014.302144. Epub 2014 Sep 11.
We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased admissions of younger adults to nursing homes. Our findings suggest that states' efforts to expand HCBS for this population should continue.
我们采用固定效应模型,研究了2001年至2008年期间美国仅接受现金援助的医疗补助计划(Medicaid)的残疾成年人(CAMOD)在家庭和社区服务(HCBSs)上的地方支出与年轻成年人进入疗养院之间的关系,并对机构和市场特征以及长期趋势进行了控制。我们发现,地方层面CAMOD医疗补助计划的HCBS支出增加与年轻成年人进入疗养院的人数减少有关。我们的研究结果表明,各州为该人群扩大HCBS的努力应继续下去。