title: The relationship between older Americans Act Title III state expenditures and prevalence of low-care nursing home residents.
abstract: OBJECTIVE
  To test the relationship between older Americans Act (OAA) program expenditures and the prevalence of low-care residents in nursing homes (NHs). DATA SOURCES AND COLLECTION: Two secondary data sources: State Program Reports (state expenditure data) and NH facility-level data downloaded from LTCfocUS.org for 16,030 US NHs (2000-2009).
  
  
  METHODS
  Using a two-way fixed effects model, we examined the relationship between state spending on OAA services and the percentage of low-care residents in NHs, controlling for facility characteristics, market characteristics, and secular trends.
  
  
  RESULTS
  Results indicate that increased spending on home-delivered meals was associated with fewer residents in NHs with low-care needs.
  
  
  CONCLUSIONS
  States that have invested in their community-based service networks, particularly home-delivered meal programs, have proportionally fewer low-care NH residents.
authors.affiliation: Center for Gerontology and Healthcare Research, Brown University, Providence, RI, USA.
authors.forename: Kali S
authors.initials: KS
authors.lastname: Thomas
authors.forename: Vincent
authors.initials: V
authors.lastname: Mor
mesh_terms: D000375:Aging; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000191:economics* / Q000706:statistics & numerical data*; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data; D020380:Needs Assessment; D009735:Nursing Homes / Q000191:economics* / Q000706:statistics & numerical data*; D015995:Prevalence; D013219:State Government; D014481:United States