Biomedical subjects

D A Spence

Publications and source records attributed to D A Spence.

10 recordsLinked to original sources

PubMed1990

Nursing home length of stay patterns: results from the 1985 National Nursing Home Survey.

Length of stay (LOS) for elderly nursing home patients is estimated by converting discharges from the 1985 National Nursing Home Survey into an admission cohort and by adding reported immediate previous nursing home LOS to the surveyed LOS. The ultimate length of aggregated stays is longer than unaggregated estimates for elderly discharged residents. Although the mean length of aggregated stays is 19 months, the mean unaggregated stay is only 13 months.

Aged↗

PubMed1990

Estimating the extent of Medicaid spend-down in nursing homes.

Although it is commonly thought that a very high proportion of private-pay nursing home patients become eligible for Medicaid during their stay, few national studies have been conducted to determine the extent of Medicaid "spend-down." The discharged resident survey of the 1985 National Nursing Home Survey was analyzed to determine the extent of spend-down among elderly nursing home patients during a single nursing home episode, the proportion of patients who remained Medicaid or private payers throughout their stay, and how the measures varied by patient characteristics. Overall, during a single nursing home episode only 10 percent of nursing home patients who entered as private payers received Medicaid at discharge. Roughly one-third of nursing home patients remained on Medicaid throughout their stay, and another third remained private payers throughout their stay.

Aged↗

PubMed1989