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The impact of nursing homes on small-area life expectancies
Marcel F Jonker1, Frank J van Lenthe, Bas Donkers
1Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands. m.jonker@erasmusmc.nl
Abstract:
The geographical distribution of nursing homes can significantly distort small-area life expectancy estimations. Consequently, uncorrected life expectancies should not be used for small-area life expectancy comparisons. Instead, several nursing home corrections have been proposed. The practical use of these corrections, however, is severely limited by data availability. This paper introduces a new, model-based nursing home correction that requires considerably less detailed nursing home data. A formal comparison shows that the proposed model-based approach is the recommended correction for all small-area life expectancy estimations where detailed previous residential address information of the nursing home population is not available. This makes the approach highly relevant for a wide range of empirical applications.
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