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The Influence of Long-Term Care Insurance on the Likelihood of Nursing Home Admission
dc.contributor.authorGure, Tanya R.en_US
dc.contributor.authorKabeto, Mohammed U.en_US
dc.contributor.authorLanga, Kenneth M.en_US
dc.date.accessioned2010-04-01T15:30:07Z
dc.date.available2010-04-01T15:30:07Z
dc.date.issued2009-10en_US
dc.identifier.citationGure, Tanya R.; Kabeto, Mohammed U.; Langa, Kenneth M. (2009). "The Influence of Long-Term Care Insurance on the Likelihood of Nursing Home Admission." Journal of the American Geriatrics Society 57(10): 1862-1867. <http://hdl.handle.net/2027.42/65984>en_US
dc.identifier.issn0002-8614en_US
dc.identifier.issn1532-5415en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/65984
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=19694868&dopt=citationen_US
dc.description.abstractTo determine the effect of long-term care (LTC) insurance on nursing home use. DESIGN : Longitudinal analysis, 1998 to 2006 waves of the Health Retirement Study. SETTING : Community-dwelling nationally representative sample. PARTICIPANTS : Nineteen thousand one hundred seventy adults aged 50 and older, 1998 wave. METHODS : Two groups of respondents were created at baseline: those with and without an LTC insurance policy. Respondents admitted to the nursing home from 1998 to 2006 were identified. Propensity scores were used to control for known predictors of LTC insurance possession. A Cox proportional hazards model was used to compare the probability of nursing home admission over 8 years of follow-up for respondents possessing LTC insurance and those without a policy. RESULTS : Of the 19,170 respondents aged 50 and older in 1998, 1,767 (9.2%) possessed LTC insurance. A total of 1,778 (8.5%) were admitted to a nursing home during the 8-year period: 149 (8.7%) of those with LTC insurance and 1,629 (8.4%) of those without LTC insurance. The hazard ratio, adjusted for propensity score, for those with LTC insurance entering a nursing home compared with those without was 1.07 (95% confidence interval=0.83–1.38). Likelihood of nursing home admission was relatively low because the low-risk population included in the study, limiting the power to detect small differences in risk of nursing home utilization between groups. CONCLUSION : There was no difference in nursing home utilization between low-risk older adults who did and did not possess an LTC insurance policy.en_US
dc.format.extent107621 bytes
dc.format.extent3110 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Incen_US
dc.rightsJournal compilation 2009 The American Geriatrics Society/Wiley Periodicals, Inc.en_US
dc.subject.otherLong-term Care Insuranceen_US
dc.subject.otherLong-term Careen_US
dc.subject.otherNursing Home Utilizationen_US
dc.titleThe Influence of Long-Term Care Insurance on the Likelihood of Nursing Home Admissionen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelGeriatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumCenter for Practice Management and Outcomes Research, Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan; anden_US
dc.contributor.affiliationumGeneral Internal Medicine, University of Michigan, Ann Arbor, Michigan.en_US
dc.contributor.affiliationotherRWJ Clinical Scholars Program and Divisions ofen_US
dc.contributor.affiliationotherGeriatric Medicine, anden_US
dc.identifier.pmid19694868en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/65984/1/j.1532-5415.2009.02433.x.pdf
dc.identifier.doi10.1111/j.1532-5415.2009.02433.xen_US
dc.identifier.sourceJournal of the American Geriatrics Societyen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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