Where are the missing elders? The decline in nursing home use, 1985 and 1995

被引:116
作者
Bishop, CE [1 ]
机构
[1] Brandeis Univ, Heller Grad Sch, Waltham, MA 02254 USA
关键词
D O I
10.1377/hlthaff.18.4.146
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Findings from the 1995 National Nursing Home Survey suggest that elderly Americans are reducing their use of nursing home care. The numbers reflect a change in the role of the nursing home, as defined in this survey. By 1995 nursing facilities were increasingly focusing on patients with greater disability and postacute ca re needs. Preferred alternatives, most notably home-delivered care and assisted living, were likely filling the gap left by declining nursing home use. Better population-based studies are needed to track emerging trends and ascertain whether elders with disabilities are receiving the care they need, Such data could inform development of better public and private financing strategies for long-term care.
引用
收藏
页码:146 / 155
页数:10
相关论文
共 15 条
[1]   RECENT GROWTH OF MEDICARE HOME HEALTH [J].
BISHOP, C ;
SKWARA, KC .
HEALTH AFFAIRS, 1993, 12 (03) :95-110
[2]  
HING E, 1987, ADV DATA VITAL HLTH, V135
[3]  
HING E, 1997, DHHS PUB
[4]  
*HLTH CAR FIN ADM, 1996, UNPUB
[5]  
JACKSON B, 1997, PRIV LONG TERM CAR I
[6]  
Kane R. A., 1993, Assisted living in the United States: A new paradigm for residential care for frail older persons?
[7]  
Kaye H. S., 1996, DISABILITY STAT ABST
[8]   Chronic disability trends in elderly United States populations: 1982-1994 [J].
Manton, KG ;
Corder, L ;
Stallard, E .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1997, 94 (06) :2593-2598
[9]  
Mauser E, 1997, HEALTH CARE FINANC R, V18, P275
[10]  
MAYNARD R, 1995, ASSESSMENT NATL STAT