The Cost-effectiveness of Community Services in a Frail Elderly Population

Vernon L. Greene; Mary E. Lovely; Jan I. Ondrich

doi:10.1093/geront/33.2.177

The Cost-effectiveness of Community Services in a Frail Elderly Population

Vernon L. Greene, Mary E. Lovely, Jan I. Ondrich

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

29 Scopus citations

Abstract

We use an integrated model incorporating simple principles of decision analysis and marginal cost analysis to discuss cost-effectiveness of community long-term care services as a substitute for nursing home care. By taking individuals as the unit of analysis and analyzing different types of community services separately, the model defines the targeting issue precisely and permits key policy parameters to be estimated empirically. When applied to data from the National Long Term Care Channeling Demonstration, 41% of those screened into the control group were found to have some potential for net long-term care cost reduction through program services.

Original language	English (US)
Pages (from-to)	177-189
Number of pages	13
Journal	Gerontologist
Volume	33
Issue number	2
DOIs	https://doi.org/10.1093/geront/33.2.177
State	Published - Apr 1993

Keywords

Logistic regression
Markov-chain
Nursing home use
Transition probability

ASJC Scopus subject areas

General Medicine

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10.1093/geront/33.2.177

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The Cost-effectiveness of Community Services in a Frail Elderly Population

Abstract

Keywords

ASJC Scopus subject areas

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