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

Nursing homes and the Roemer-Feldstein hypothesis

T R Willemain, M E Farber

    Medical Care
    |October 1, 1976
    PubMed
    Summary

    The Roemer-Feldstein hypothesis suggests healthcare demand matches bed supply. However, nursing home data shows increased bed supply reduced inappropriate patient placement, questioning the hypothesis for regulation.

    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

    Macular degeneration. A devastating but treatable disease.

    Postgraduate medicine·1990
    Same author

    Diabetic retinopathy in a rural diabetic population. Prevalence and risk.

    The West Virginia medical journal·1989
    Same author

    Increased retinal vascular tortuosity in gestational diabetes mellitus.

    Ophthalmology·1989
    Same author

    Increased mortality rates after cataract surgery. A statistical analysis.

    Ophthalmology·1988
    Same author

    Test accuracy and predicting outcome.

    Archives of ophthalmology (Chicago, Ill. : 1960)·1986
    Same author

    Perfluorocarbon gases in vitreous surgery.

    Ophthalmology·1985

    Area of Science:

    • Healthcare policy
    • Health services research
    • Geriatric care

    Background:

    • The Certification of Need theory relies on the Roemer-Feldstein hypothesis.
    • This hypothesis posits a direct relationship between healthcare service demand and bed supply.
    • It's often applied to nursing homes despite being developed from hospital data.

    Purpose of the Study:

    • To evaluate the applicability of the Roemer-Feldstein hypothesis to nursing home bed supply and utilization.
    • To assess the relationship between nursing home bed supply and the appropriateness of patient placement.

    Main Methods:

    • Analysis of nursing home placement data.
    • Correlation analysis between nursing home bed supply and bed utilization rates.
    • Examination of patient placement appropriateness in relation to bed supply.

    Main Results:

    • A high correlation was observed between nursing home bed supply and bed utilization.
    • Increased skilled nursing facility bed supply was associated with a decrease in inappropriate patient placements.
    • Nursing home utilization rates require assessment of service appropriateness, not just bed supply.

    Conclusions:

    • The Roemer-Feldstein hypothesis may be an inadequate basis for regulating nursing home bed supply.
    • Future regulatory models should incorporate sophisticated bed supply notions and assess service appropriateness.
    • Empirical verification is crucial for developing effective healthcare resource management strategies.

    Related Experiment Videos