Reducing nursing home use through community long-term care: An optimization analysis

Vernon L. Greene; Mary E. Lovely; Mark D. Miller; Jan I. Ondrich

doi:10.1093/geronb/50B.4.S259

Reducing nursing home use through community long-term care: An optimization analysis

Vernon L. Greene, Mary E. Lovely, Mark D. Miller, Jan I. Ondrich

Department of Public Administration

Research output: Contribution to journal › Article › peer-review

37 Scopus citations

Abstract

Can community services be made more effective in reducing nursing home use through better management of their mix and allocation? To test this idea, we used data from the National Long-Term Care Channeling Demonstration to estimate logistic regression models relating the use of various types of community services to nursing home use. We then used these estimates to form an objective function for a mathematical optimization procedure which minimizes total expected population nursing home use as a function of community service use, subject to a total expenditure constraint. We find through this simulated reallocation that, in theory, significant reductions in nursing home use can be produced without increasing total community expenditures.

Original language	English (US)
Pages (from-to)	S259-S268
Journal	Journals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume	50 B
Issue number	4
DOIs	https://doi.org/10.1093/geronb/50B.4.S259
State	Published - Jul 1995

ASJC Scopus subject areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

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10.1093/geronb/50B.4.S259

Cite this

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title = "Reducing nursing home use through community long-term care: An optimization analysis",

abstract = "Can community services be made more effective in reducing nursing home use through better management of their mix and allocation? To test this idea, we used data from the National Long-Term Care Channeling Demonstration to estimate logistic regression models relating the use of various types of community services to nursing home use. We then used these estimates to form an objective function for a mathematical optimization procedure which minimizes total expected population nursing home use as a function of community service use, subject to a total expenditure constraint. We find through this simulated reallocation that, in theory, significant reductions in nursing home use can be produced without increasing total community expenditures.",

author = "Greene, {Vernon L.} and Lovely, {Mary E.} and Miller, {Mark D.} and Ondrich, {Jan I.}",

note = "Funding Information: This research was sponsored by the Agency for Health Care Policy and Research, under grant 1 Rl8 HS06757-01A1, and builds on earlier research sponsored by the Office of the Assistant Secretary for Planning and Evaluation, United States Department of Health and Human Services, under grant 87 ASPE 184A. The findings are entirely the responsibility of the authors and do not reflect the views of the funding agencies.",

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AU - Miller, Mark D.

AU - Ondrich, Jan I.

N1 - Funding Information: This research was sponsored by the Agency for Health Care Policy and Research, under grant 1 Rl8 HS06757-01A1, and builds on earlier research sponsored by the Office of the Assistant Secretary for Planning and Evaluation, United States Department of Health and Human Services, under grant 87 ASPE 184A. The findings are entirely the responsibility of the authors and do not reflect the views of the funding agencies.

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Reducing nursing home use through community long-term care: An optimization analysis

Abstract

ASJC Scopus subject areas

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