1 University of Connecticut Health Center, Farmington, USA.
2 Center for Gerontology and Healthcare Research, Brown University, Providence, RI, USA.
J Appl Gerontol. 2019 Apr;38(4):454-478. doi: 10.1177/0733464816687496. Epub 2017 Jan 8.
The federal Money Follows the Person Rebalancing Demonstration program allows nursing home residents to use Medicaid funds for home and community-based services rather than institutional care. Race, choice in housing, and challenges faced prior to transitioning may impact living arrangements following a discharge into the community. This study examines the influence of these factors on living arrangements for 659 program participants age 65 or older. Unmarried Blacks and people with financial or legal challenges are less likely to live with a live-in caregiver or in supervised housing compared with unmarried Whites. Race did not determine living arrangements among married participants, but housing transition challenges did. Findings inform policies targeting nursing home rebalancing efforts by highlighting racial diversity in living arrangements and emphasizing the need for affordable, accessible housing options for older adults of any race seeking to live in the community rather than remain in an institutional setting.
联邦“货币随人走”再平衡试点计划允许养老院居民将医疗补助资金用于家庭和社区为基础的服务，而不是机构护理。种族、住房选择以及在过渡前面临的挑战可能会影响出院后进入社区的居住安排。本研究调查了这些因素对 659 名 65 岁或以上计划参与者的居住安排的影响。与未婚白人相比，未婚黑人以及在财务或法律方面有困难的人不太可能与住家护理人员或在受监督的住房中生活。种族并没有决定已婚参与者的居住安排，但住房过渡挑战决定了这一点。研究结果为以突出居住安排的种族多样性为目标的、针对养老院再平衡努力的政策提供了信息，并强调需要为任何寻求在社区而不是在机构环境中生活的老年白人提供负担得起的、可及的住房选择。
