title: The impact of nursing homes on small-area life expectancies.
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.
authors.affiliation: Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands. m.jonker@erasmusmc.nl
authors.forename: Marcel F
authors.initials: MF
authors.lastname: Jonker
authors.forename: Frank J
authors.initials: FJ
authors.lastname: van Lenthe
authors.forename: Bas
authors.initials: B
authors.lastname: Donkers
authors.forename: Peter D
authors.initials: PD
authors.lastname: Congdon
authors.forename: Alex
authors.initials: A
authors.lastname: Burdorf
authors.forename: Johan P
authors.initials: JP
authors.lastname: Mackenbach
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001499:Bayes Theorem; D015982:Bias; D005260:Female; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008017:Life Expectancy / Q000639:trends*; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D017062:Small-Area Analysis