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Prospects For Transferring Nursing Home Residents To The Community

2007; Project HOPE; Volume: 26; Issue: 6 Linguagem: Inglês

10.1377/hlthaff.26.6.1762

2694-233X

Vincent Mor, Jacqueline Zinn, Pedro Gozalo, Zhanlian Feng, Orna Intrator, David C. Grabowski,

Frailty in Older Adults

The Deficit Reduction Act (DRA) of 2005 calls for states to develop strategies to "deinstitutionalize" nursing home residents. Using Minimum Data Set assessment data from 2005, we calculated the number of nursing home residents classified as "low-care" in each state using both a "narrow" and a "broad" definition. Between 5 percent (narrow) and 12 percent (broad) of the 1.4 million long-stay residents and similar proportions of new admissions remaining in a nursing home meet definitions for low care. States with lower investment in community alternatives had higher proportions of low-care nursing home residents.