Do Community-Based, Long-Term-Care Services Reduce Nursing Home Use? A Transition Probability Analysis
基于全国长期护理示范项目数据，用logit模型估计从社区转入养老院的概率，发现护士、家庭健康助手、个人护理助手和管家等不同服务对特定人群有不同抑制效果，提示精准投放社区服务可减少养老院支出。
This study offers logit estimates of the probability of transition from the community to a nursing home based upon data from the National LongTerm-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.