Performance Improvement 2004. estimates of the risk of long-term care: assisted living and nursing home facilities


This study examined the characteristics of persons entering assisted living and nursing facilities to determine what factors were associated with the risk of moving to these types of settings, and whether the factors associated with assisted living facility transitions are different from those associated with traditional nursing home admission. The time until an elderly person residing in the community entered a nursing home or an assisted living facility was modeled using a hazard function, which gives the probability at any point in time that the individual will experience a transition of a particular type. Analyses supported the hypothesis that assisted living may substitute for nursing homes for some segments of the elderly population. However, there is also evidence that nursing homes are more likely to serve lower income and older populations and those with the most severe disabilities.

PIC ID: 8013
Agency Sponsor: ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Marton, William, 202-690-6443
Performer: Urban Institute, Washington, DC

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