Volume 28, Number 2 (Spring) 1993
Greene, Vernon L., Mary E. Lovely, and Jan L. Ondrich. 1993. "Do Community-Based, Long-Term-Care Services Reduce Nursing Home Use? A Transition Probability Analysis." Journal of Human Resources 28(2):297-317.
This study offers logit estimates of the probability of transition from the community to a nursing home based upon data from the National Long-Term-Care Demonstration. It is found that nurses deter entry by those using a wheelchair while home-health aides deter entry for those with cognitive impairments. Personal-care aides and housekeepers reduce admission risk for those with severe functional disabilities. These findings suggest that appropriate targeting of community-based services would improve the degree to which they offset nursing home expenditures.
The authors are, respectively, Associate Professor of Public Administration and Director, All-University Gerontology Center, The Maxwell School, Syracuse University; Assistant Professor and Associate Professor of Economics and Senior Research Associates, Metropolitan Studies Program, The Maxwell School, Syracuse University. This study was supported by Grant #87ASPE184A from the Office of Assistant Secretary for Planning and Evaluation, United States Department of Health and Human Resources. The authors would like to thank Axel Börsch-Supan, Jon Christianson, Mark Miller, and two anonymous referees for their useful critical comments, Winfried Pohlmeier and Candy Willhite for helpful discussions, and and Michael Grant and Santa Falcone for research assistance. The usual disclaimers apply. The data used in this article can be obtained beginning in December 1993 through December 1996 from the author at the following address: Jan I. Ondrich, Metropolitan Studies Program, Syracuse University, 400 Maxwell Hall, Syracuse, New York 13244-1090.
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