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Sizing up the market for assisted living
David G Stevenson1, David C Grabowski
1Harvard Medical School in Boston, Massachusetts, USA. stevenson@med.harvard.edu
Health Affairs (Project Hope)
|January 6, 2010
Summary
Assisted living facilities, a key housing option for seniors, are concentrated in wealthier areas due to private funding. Future policy must address access, financing, and quality of care for this evolving sector.
Area of Science:
- Gerontology
- Health Services Research
- Sociology of Aging
Background:
- Assisted living is a significant housing and long-term care solution for older Americans.
- The assisted living sector has largely developed without substantial government funding or regulation.
- Understanding the national landscape of assisted living supply is crucial for future planning.
Purpose of the Study:
- To analyze the national supply of assisted living facilities using primary county-level data.
- To understand the factors influencing the geographic distribution of assisted living facilities.
- To inform policy discussions regarding the future of assisted living care.
Main Methods:
- Collection of primary data on assisted living supply at the county level.
- Geographic analysis of facility distribution.
- Correlation of facility location with socioeconomic indicators.
Main Results:
- Assisted living facilities are disproportionately located in areas with higher educational attainment.
- Higher income and housing wealth correlate with greater assisted living facility presence.
- The distribution reflects the sector's reliance on private financial resources.
Conclusions:
- The current distribution of assisted living facilities highlights socioeconomic disparities in access.
- Policymakers face challenges in addressing access, public financing, quality, and regulation.
- Future development requires strategic planning to ensure equitable access to care for all older adults.
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