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Related Experiment Videos

Transitions in long-term care

H Temkin-Greener1, M R Meiners

  • 1Community Coalition for Long-Term Care, Rochester, NY 14604, USA.

The Gerontologist
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

Recent hospitalizations for stroke, dementia, or hip fractures predict nursing home admissions for Medicaid elderly but not private pay individuals. This highlights differing factors influencing long-term care transitions.

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Area of Science:

  • Gerontology
  • Health Economics
  • Public Policy

Background:

  • Understanding transitions between community living and nursing homes is crucial for older adults.
  • Differentiating factors for private pay versus Medicaid-eligible individuals is essential for targeted policy.
  • Long-term care needs and financing significantly impact the elderly population.

Purpose of the Study:

  • To examine factors influencing transitions to nursing homes for private pay and Medicaid-eligible older adults.
  • To compare the predictors of nursing home admission for these two distinct financial groups.
  • To inform long-term care insurance design and public policy.

Main Methods:

  • Utilized discrete-time hazard functions to analyze transition probabilities.

Related Experiment Videos

  • Focused on older adults (65+) transitioning between community and nursing home settings.
  • Compared factors associated with nursing home admissions for private pay and Medicaid-eligible populations.

    • Main Results:

    • Recent hospitalizations for stroke, dementia, or hip fractures strongly predicted nursing home admissions for Medicaid-eligible individuals.
    • These hospitalizations were not significant predictors for the private pay population, with the exception of dementia.
    • Identified distinct risk factors for nursing home transitions based on payer status.

    Conclusions:

    • Payer status (private pay vs. Medicaid) significantly influences the factors predicting nursing home transitions in older adults.
    • Dementia is a consistent predictor across both financial groups, while other conditions like stroke and hip fracture are more specific to the Medicaid population.
    • Findings have direct implications for designing effective long-term care insurance and public policy.