REDUCING NURSING-HOME USE THROUGH COMMUNITY LONG-TERM-CARE - AN OPTIMIZATION ANALYSIS

被引：25

作者：

GREENE, VL ^{[1
]}

LOVELY, ME ^{[1
]}

MILLER, MD ^{[1
]}

ONDRICH, JI ^{[1
]}

机构：

[1] SYRACUSE UNIV,ACAD COMP SERV,SYRACUSE,NY 13244

来源：

JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 1995年 / 50卷 / 04期

关键词：

D O I：

10.1093/geronb/50B.4.S259

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Can community services be made more effective in reducing nursing home use through better management of their mix and allocation? To test this idea, we used data from the National Long-Term Care Channeling Demonstration to estimate logistic regression models relating the use of various types of community services to nursing home use. We then used these estimates to form on objective function for a mathematical optimization procedure which minimizes total expected population nursing home use as a function of community service use, subject to a total expenditure constraint. We find through this simulated reallocation that, in theory, significant reductions in nursing home use can he produced without increasing total community expenditures.

引用

页码：S259 / S268

页数：10

共 18 条

[1]

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[2]

CARCAGNO GJ, 1988, HEALTH SERV RES, V23, P1

[3]

CORSON W, CHANNELING EFFECTS F

[4]

DAVIDSON G, 1989, HEALTH SERV RES, V24, P539