Table 6. SNF Services Used in 1982,1984, and 1989 Community Populations 65 Years of Age or Over and Eligible for Hospital Insurance: Total and by Pure Type Defined in Table 3.
| SNF Services | Total Population | Pure Type | ||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Physically Challenged (1) |
Active (2) |
Moderately Physically Impaired (3) |
IADL Impaired (4) |
Mobility Challenged (5) |
Frail (6) |
Institutional (7)1 |
||
| Days Spent in an SNF | ||||||||
| 1982-83: | ||||||||
| Percent Using Services | 0.95 | 2.27 | 0.47 | 1.52 | 2.50 | 2.10 | 4.16 | 3.51 |
| Number of Days per Enrollee | 0.30 | 0.79 | 0.14 | 0.53 | 0.75 | 0.62 | 1.37 | 1.20 |
| Average Days per User | 31.96 | 34.72 | 30.43 | 35.17 | 30.15 | 29.42 | 32.89 | 34.07 |
| 1984-85: | ||||||||
| Percent Using Services | 1.10 | 2.11 | 0.64 | 1.81 | 2.35 | 3.42 | 4.16 | 3.12 |
| Number of Days per Enrollee | 0.32 | 0.58 | 0.18 | 0.58 | 0.77 | 1.06 | 1.26 | 0.97 |
| Average Days per User | 29.64 | 27.75 | 28.35 | 32.17 | 32.68 | 30.97 | 30.27 | 30.96 |
| 1989-90: | ||||||||
| Percent Using Services | 2.05 | 4.58 | 0.95 | 3.75 | 4.81 | 5.37 | 7.50 | 10.03 |
| Number of Days per Enrollee | 0.84 | 1.55 | 0.31 | 1.44 | 1.81 | 1.69 | 2.84 | 6.03 |
| Average Days per User | 41.09 | 33.94 | 32.69 | 38.34 | 37.54 | 31.50 | 37.89 | 60.14 |
| SNF Reimbursements | ||||||||
| 1982-83: | ||||||||
| Percent Using Services | 0.94 | 2.27 | 0.46 | 1.52 | 2.50 | 2.10 | 4.16 | 3.51 |
| Costs per Enrollee | 14.05 | 41.51 | 7.37 | 26.03 | 37.96 | 32.05 | 55.02 | 43.27 |
| Average Cost per User | 1,488.15 | 1,826.56 | 1,589.74 | 1,715.54 | 1,518.25 | 1,526.46 | 1,323.81 | 1,231.41 |
| 1984-85: | ||||||||
| Percent Using Services | 1.09 | 2.11 | 0.64 | 1.81 | 2.35 | 3.37 | 4.02 | 3.07 |
| Costs per Enrollee | 18.04 | 25.87 | 11.52 | 26.06 | 32.78 | 60.48 | 62.48 | 46.54 |
| Average Cost per User | 1,659.56 | 1,228.14 | 1,804.26 | 1,441.31 | 1,397.63 | 1,794.75 | 1,555.71 | 1,515.07 |
| 1989-90: | ||||||||
| Percent Using Services | 2.01 | 4.52 | 0.93 | 3.70 | 4.47 | 5.14 | 7.38 | 10.08 |
| Costs per Enrollee | 71.40 | 141.39 | 30.08 | 163.46 | 152.51 | 170.61 | 253.39 | 405.64 |
| Average Cost per User | 3,547.30 | 3,126.75 | 3,236.41 | 4,417.41 | 3,410.51 | 3,316.43 | 3,433.86 | 4,023.51 |
| SNF Days—Ratio of 1989-90 to 1982-83 | ||||||||
| Percent Using Services | 2.16 | 2.02 | 2.02 | 2.47 | 1.92 | 2.56 | 1.80 | 2.86 |
| Number of Days per Enrollee | 2.80 | 1.96 | 2.21 | 2.72 | 2.41 | 2.73 | 2.07 | 5.03 |
| Average Days per User | 1.29 | 0.98 | 1.07 | 1.09 | 1.25 | 1.07 | 1.15 | 1.77 |
| SNF Reimbursements — Ratio of 1989-90 to 1982-83 | ||||||||
| Percent Using Services | 2.14 | 1.99 | 2.02 | 2.43 | 1.79 | 2.45 | 1.77 | 2.87 |
| Costs per Enrollee | 5.08 | 3.41 | 4.08 | 6.28 | 4.02 | 5.32 | 4.61 | 9.37 |
| Average Cost per User | 2.38 | 1.71 | 2.04 | 2.57 | 2.25 | 2.17 | 2.59 | 3.27 |
NOTES: SNF Is skilled nursing facility. IADL is instrumental activity of daily living.
SOURCE: Disability scores calculated from the 1982,1984, and 1989 National Long-Term Care Surveys and service use data from linked Medicare files by Center for Demographic Studies, Duke University.