title: The relationship between older Americans act in-home services and low-care residents in nursing homes.
abstract: OBJECTIVE
  The aim of the study was to investigate the relationship between supportive services provided under Title III-B of the Older Americans Act (OAA) and the prevalence of low-care residents in nursing homes (NHs).
  
  
  METHODS
  State Program Reports (state-level expenditure and utilization data for each OAA service) and NH facility-level data were analyzed using a two-way fixed effects model.
  
  
  RESULTS
  Results suggest that every additional 1% of the population age 65+ that receives personal care services is associated with a 0.8% decrease in the proportion of low-care residents in NHs.
  
  
  CONCLUSIONS
  Despite efforts to rebalance long-term care, there are still many NH residents who have the functional capacity to live in a less restrictive environment. This is among the first studies to suggest that states that have invested in their in-home supportive services, particularly personal care services provided through the OAA, have proportionally fewer of these people.
authors: Brown University, Providence, RI, USA.
authors: Kali S
authors: KS
authors: Thomas
mesh_terms: D000368:Aged; D005380:Financing, Government; D005102:Health Expenditures / Q000706:statistics & numerical data; D006699:Home Care Services / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data; D020380:Needs Assessment; D009735:Nursing Homes / Q000706:statistics & numerical data*; D015995:Prevalence; D013219:State Government; D014481:United States
keywords: home and community-based services; long-term care; nursing homes