title: Low-care residents in nursing homes: the impact of market characteristics.
abstract: Approximately 30% of nursing home residents were recently identified as low-care cases; that is, residents with low levels of acuity. Other institutional venues, board and care homes and assisted living facilities, for example, are often recommended as alternative domiciliaries providing more appropriate and less expensive care for these residents. In this investigation the effect of nine market factors on the prevalence of low-care residents in 14,646 nursing homes are studied. Government regulations, competition from other providers, and the overall munificence of the market are found to influence their prevalence. These results are discussed along with several issues inherent to channeling low-care residents to other care setting.
authors.affiliation: Long-Term Care Studies, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ 08901, USA.
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Castle
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D003482:Custodial Care / Q000145:classification* / Q000191:economics / Q000706:statistics & numerical data; D019981:Health Care Sector; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D009735:Nursing Homes / Q000191:economics / Q000706:statistics & numerical data*; D012044:Regression Analysis; D019467:Subacute Care / Q000145:classification* / Q000191:economics / Q000706:statistics & numerical data; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data*