ArticleJournal of the American Medical Directors Association2020
Changes in Long-Term Care Markets: Assisted Living Supply and the Prevalence of Low-Care Residents in Nursing Homes.
Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- Trends in Assisted Living and Memory Care Supply From 2019 to 2023.Journal of the American Medical Directors Association · 2025Article
- The National Dementia Workforce Study: Development of Questionnaires for Home Care, Assisted Living, and Nursing Home Settings.Journal of the American Geriatrics Society · 2025Article
- Assisted living or nursing home: Who is moving in?Journal of the American Geriatrics Society · 2023Article
- Using Medicare Enrollment Data to Identify Beneficiaries in Assisted Living.Journal of the American Medical Directors Association · 2023Article
- Defining a taxonomy of Medicare-funded home-based clinical care using claims data.BMC health services research · 2023Article
- Rates of health services use among residents of retirement homes in Ontario: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Implementing Large-Scale Data-Driven Quality Improvement in Assisted Living.Journal of the American Medical Directors Association · 2022Article
- Beyond the Medication Pass: Attitudes, Ethics, Agency, and Antipsychotic Medications in Assisted Living/Residential Care.Innovation in aging · 2022Article
- Do assisted living facilities that offer a dementia care program differ from those that do not? A population-level cross-sectional study in Ontario, Canada.BMC geriatrics · 2021Article
- Connecting policy to licensed assisted living communities, introducing health services regulatory analysis.Health services research · 2021Article
- Trends in Serious Mental Illness in US Assisted Living Compared to Nursing Homes and the Community: 2007-2017.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Emergency Department Use Among Assisted Living Residents After Hurricane Irma.Journal of the American Medical Directors Association · 2021Article
- Revisiting the Role of Physicians in Assisted Living and Residential Care Settings.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo assess the effect of changes in assisted living (AL) capacity within a market on prevalence of residents with low care needs in nursing homes.
designRetrospective, longitudinal analysis of nursing home markets. SETTING AND
participantsTwelve thousand two hundred fifity-one nursing homes in operation during 2007 and 2014. MEASUREMENTS: We analyzed the percentage of residents in a nursing home who qualified as low-care. For each nursing home, we constructed a market consisting of AL communities, Medicare beneficiaries, and competing nursing homes within a 15-mile radius. We estimated the effect of change in AL beds on prevalence of low-care residents using multivariate linear models with year and nursing home fixed effects.
resultsThe supply of AL beds increased by an average 258 beds per nursing home market (standard deviation = 591) during the study period. The prevalence of low-care residents decreased from an average of 13.0% (median 10.5%) to 12.2% (median 9.5%). In adjusted models, a 100-bed increase in AL supply was associated with a decrease in low-care residents of 0.041 percentage points (P = .026), controlling for changes in market and nursing home characteristics, county demographics, and year and nursing home fixed effects. In markets with a high percentage of its Medicare beneficiaries (≥14%) dual eligible for Medicaid, the effect of AL is stronger, with a 0.066-percentage point decrease per 100 AL beds (P = .026) vs a 0.016-percentage point decrease in low-duals markets (P = .48). CONCLUSIONS AND IMPLICATIONS: Our analysis suggests that some of the growth in AL capacity serves as a substitute for nursing homes for patients with low care needs. Furthermore, the effects are concentrated in markets with an above-average proportion of beneficiaries with dual Medicaid eligibility.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.