It Is Not Your Parents’ Long-Term Services System: Nursing Homes in a Changing World

The long-term services system has changed substantially since the mid-1970s, when the landmark book Last Home for the Aged argued that the move to the nursing home was the last move an older person would make until death. Using detailed nursing home utilization data from the Minimum Data Set, this study tracks three cohorts of first-time nursing home admissions in Ohio from 1994 through 2014. Each cohort was followed for a 3-year period. Study results report dramatic reductions in nursing home length of stay between the 1994 and 2011 cohorts. Reduction in length of stay has important implications for nursing home practice and quality monitoring. The article argues that administrative and regulatory practices have not kept pace with the dramatic changes in how nursing homes are now being used in the long-term services system.

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Work Title It Is Not Your Parents’ Long-Term Services System: Nursing Homes in a Changing World
Access
Open Access
Creators
  1. Robert Applebaum
  2. Shahla Mehdizadeh
  3. Diane E Berish
Keyword
  1. Long-term services and supports
  2. Nursing homes
  3. Policy
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Journal of Applied Gerontology
Publication Date December 21, 2018
Publisher Identifier (DOI)
  1. https://doi.org/10.1177/0733464818818050
Deposited July 25, 2022

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Version 1
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  • Created
  • Added 0733464818818050.pdf
  • Added Creator Robert Applebaum
  • Added Creator Shahla Mehdizadeh
  • Added Creator Diane E Berish
  • Published
  • Updated Keyword, Description, Publication Date Show Changes
    Keyword
    • Long-term services and supports, Nursing homes, Policy
    Description
    • Chronic conditions and depressive symptoms in older adults: the mediating role of functional limitations
    • The long-term services system has changed substantially since the mid-1970s, when the landmark book Last Home for the Aged argued that the move to the nursing home was the last move an older person would make until death. Using detailed nursing home utilization data from the Minimum Data Set, this study tracks three cohorts of first-time nursing home admissions in Ohio from 1994 through 2014. Each cohort was followed for a 3-year period. Study results report dramatic reductions in nursing home length of stay between the 1994 and 2011 cohorts. Reduction in length of stay has important implications for nursing home practice and quality monitoring. The article argues that administrative and regulatory practices have not kept pace with the dramatic changes in how nursing homes are now being used in the long-term services system.
    Publication Date
    • 2020-08-01
    • 2018-12-21
  • Updated