McConnel C E
Int J Aging Hum Dev. 1983;17(1):57-69. doi: 10.2190/BCM0-BH5N-5PF5-L8YD.
This article demonstrates that the numerical estimate of an approximately 25 percent risk of nursing home institutionalization reported in the "4-5% fallacy" literature is based on an invalid set of implicit assumptions. Using the most recent national level statistics on nursing home residency and discharge, a measurement technique is introduced to provide an estimate of the maximum and minimum number of nursing home residents in 1976, and a corresponding range for the annualized risk of institutionalization between 6 and 9 percent, within which the true risk must lie.