TABLE 5.
Impact on Nursing Home Use
Study | Approximate Study Dates | Percentage of Users (T-C) | Average Number of Total Days per Capita (T-C) |
---|---|---|---|
On Loka | 1978–1983 | −23.8%∼ | −63.3∼ |
BRH Home Aide | 1966–1969 | −20.0* | −44.8* |
South Carolinab | 1980–1984 | −16.1*# | −40.0*# |
Chicagoc | 1977–1980 | −11.2*# | −14.4∼ |
Highland Heightsb | 1970–1976 | −10.3*# | −42.9*# |
Section 222 Day Careb,d,e | 1974–1977 | −10.0 # | −5.0* |
Triagef | 1976–1981 | −10.0∼ | −10.0∼ |
Home Health Care Teamg | 1979–1982 | −5.8∼ | −6.8∼ |
Section 222 Homemakerb,d,e | 1974–1977 | −2.0 # | −0.0 |
San Diegod,h | 1979–1984 | −1.8 | — |
Project OPENd,i | 1978–1983 | −1.7 | −3.6∼ |
Post-Hospital Support | 1983–1985 | −1.6∼ | −8.5∼ |
Continued Carej | 1963–1971 | −1.1 | −7.3∼ |
Georgia | 1976–1980 | −1.1∼ | −7.0 |
Channeling Basick | 1980–1985 | −0.9 # | −3.6 # |
Channeling Financialk | 1980–1985 | −0.8 # | −3.4 # |
Wisconsin CCO/Milwaukeel,m | 1975–1979 | −0.7 | −11.6 # |
Florida Pentastarh | 1980–1983 | −0.6 | — |
New York City Home Carem | 1979–1984 | 0.2 | — |
ACCESS Medicare/Medicaidn | 1982–1986 | 8.4∼ | 20.0 # |
BRI Protective Service | 1964–1966 | 14.0∼ | — |
ACCESS Medicare/Private Payd,n | 1982–1986 | 21.1∼ | 43.5*# |
Nursing Home without Walls Upstateo | 1980–1983 | — | −93.6*# |
Nursing Home without Walls Downstateo | 1980–1983 | — | −35.6*# |
Alarm Responsep | 1975–1980 | — | −8.0* |
Chronic Diseaseq | 1971–1976 | — | −5.9 # |
Worcesterr | 1972–1975 | — | −1.0 |
Note: Numbers in the table reflect treatment-control-group differences in nursing home use during the first year after entry to the study. First-year data were not reported by some projects. For these, first-year use was estimated from project data whenever possible. Percentage of users was estimated based on the assumption that the time between entry to the study and when a given subject enters a nursing home follows an exponential distribution. Such a representation is suggested by DeGroot (1975). Key to symbols: “a” to “r” superscripts refer to table notes located in Appendix B. “T-C” indicates the control-group average was subtracted from the treatment-group average. “∼” indicates the statistical significance of the treatment-control-group difference was not reported. “*” indicates the treatment-control-group difference was statistically significant at the 5 percent level. The results of statistical significance tests are from tests conducted by project evaluators (e.g., on an observed 6-month difference), not by the authors on an estimate of a 12-month difference. “#” indicates the statistical significance of the treatment-control-group difference was assessed using multivariate techniques to control or adjust for baseline characteristics. Adjusted estimates are presented whenever reported. “—” indicates data were not available.