Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reducing nursing home use through community long-term care: an optimization analysis

V L Greene1, M E Lovely, M D Miller

  • 1Center for Policy Research, Maxwell School, Syracuse University, USA.

The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
|July 1, 1995
PubMed
Summary

Optimizing community services can reduce nursing home use. Better management and allocation of these services, even without increased spending, can significantly decrease reliance on nursing homes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Relationships between physically effective undegraded neutral detergent fiber and rumen fermentable starch in diets for lactating Holstein dairy cows.

Journal of dairy science·2026
Same author

Relationships between undegraded and physically effective fiber in diets for lactating Holstein dairy cows.

Journal of dairy science·2026
Same author

Influence of fiber degradability of corn silage in diets with lower and higher fiber content on lactational performance, nutrient digestibility, and ruminal characteristics in lactating Holstein cows.

Journal of dairy science·2020
Same author

Evaluation of source of corn silage and trace minerals on rumen characteristics and passage rate of Holstein cows.

Journal of dairy science·2020
Same author

Evaluation of source of corn silage and trace minerals on lactational performance and total-tract nutrient digestibility in Holstein cows.

Journal of dairy science·2020
Same author

A systematic review of community-based interventions for the treatment of adolescents with overweight and obesity.

Obesity reviews : an official journal of the International Association for the Study of Obesity·2018

Area of Science:

  • Health Services Research
  • Gerontology
  • Public Health Policy

Background:

  • Nursing home utilization represents a significant cost and burden on individuals and healthcare systems.
  • Community-based services aim to support individuals in their homes, potentially reducing the need for institutional care.
  • The effective mix and allocation of community services are critical for maximizing their impact on long-term care outcomes.

Purpose of the Study:

  • To investigate whether optimizing the management, mix, and allocation of community services can enhance their effectiveness in reducing nursing home use.
  • To determine if strategic reallocation of community service resources can lead to decreased nursing home admissions without escalating overall expenditures.

Main Methods:

  • Utilized data from the National Long-Term Care Channeling Demonstration.

Related Experiment Videos

  • Estimated logistic regression models to analyze the relationship between community service utilization and nursing home use.
  • Developed a mathematical optimization procedure to minimize total expected nursing home use under a fixed expenditure constraint.

    • Main Results:

    • Simulated reallocation of community services demonstrated the potential for significant reductions in nursing home use.
    • The optimization model indicated that strategic adjustments in service mix and allocation can decrease nursing home utilization.
    • These reductions were achievable within existing total community expenditure limits.

    Conclusions:

    • Effective management and reallocation of community services offer a viable strategy for reducing nursing home reliance.
    • Optimizing the allocation of community-based long-term care resources can lead to substantial decreases in nursing home admissions.
    • Policy and practice should focus on strategic resource allocation to improve the efficiency of community services in supporting aging populations.