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China's rapidly aging population creates policy challenges in shaping a viable long-term care system.
China's evolving long-term care landscape is analyzed and major government policies and private-sector initiatives shaping it are traced, with recommendations for building a balanced system of services and avoiding an "institutional bias". Expand
The revolving door of rehospitalization from skilled nursing facilities.
Almost one-fourth of Medicare beneficiaries discharged from the hospital to a skilled nursing facility were readmitted to the hospital within thirty days; this cost Medicare $4.34 billion in 2006.Expand
Use of physical restraints and antipsychotic medications in nursing homes: a cross‐national study
This study compares inter‐ and intra‐country differences in the prevalence of physical restraints and antipsychotic medications in nursing homes, and examines aggregated resident conditions andExpand
An Industry in the Making: The Emergence of Institutional Elder Care in Urban China
The findings portray the emergence and rapid growth of a nascent industry of institutional long‐term care in urban China and a fundamental shift in institutional ownership, financing, and clientele. Expand
Separate and unequal: racial segregation and disparities in quality across U.S. nursing homes.
The racial segregation in U.S. nursing homes is described and its relationship to racial disparities in the quality of care is described, with blacks much more likely than whites to be located in nursing homes that have serious deficiencies, lower staffing ratios, and greater financial vulnerability. Expand
Recent trends in state nursing home payment policies.
Aggregate inflation-adjusted Medicaid payment rates rose steadily, and there was no sizable increase in the adoption of other cost-cutting policies, although areas of concern remain for state nursing home policy during the next several years. Expand
Prospects for transferring nursing home residents to the community.
The Deficit Reduction Act (DRA) of 2005 calls for states to develop strategies to "deinstitutionalize" nursing home residents, and the number of nursing homeResidents classified as "low-care" in each state is calculated using both a "narrow" and a "broad" definition. Expand
Trends in mental health admissions to nursing homes, 1999-2005.
The proportion of nursing home admissions with mental illness, in particular depression, has overtaken the proportion with dementia and may be related to increased recognition of depression, availability of alternatives to nursing homes for persons with dementia, and increased specialization among nursing homes in the care of postacute, rehabilitation residents. Expand
Physician and nurse staffing in nursing homes: the role and limitations of the Online Survey Certification and Reporting (OSCAR) system.
The OSCAR data are useful for exploring relationships between staffing and various quality of care outcomes, but may not be accurate enough on a case-specific basis, or to determine policy regarding minimal staffing levels using average nurse hours per patient day measures. Expand
Effect of nursing home ownership on the quality of post-acute care: an instrumental variables approach.
After instrumenting for ownership status, it is found that post-acute patients in nonprofit facilities had fewer 30-day hospitalizations and greater improvement in mobility, pain, and functioning. Expand