The influence of long-term care insurance on the likelihood of nursing home admission.

TitleThe influence of long-term care insurance on the likelihood of nursing home admission.
Publication TypeJournal Article
Year of Publication2009
AuthorsGure, TR, Kabeto, MU, Langa, KM
JournalJ Am Geriatr Soc
Volume57
Issue10
Pagination1862-7
Date Published2009 Oct
ISSN Number1532-5415
Call Numbernewpubs20091013_GureJAGS.pdf
KeywordsAged, Aged, 80 and over, Female, Humans, Insurance, Long-Term Care, Longitudinal Studies, Male, Middle Aged, Nursing homes
Abstract

<p><b>OBJECTIVES: </b>To determine the effect of long-term care (LTC) insurance on nursing home use.</p><p><b>DESIGN: </b>Longitudinal analysis, 1998 to 2006 waves of the Health Retirement Study.</p><p><b>SETTING: </b>Community-dwelling nationally representative sample.</p><p><b>PARTICIPANTS: </b>Nineteen thousand one hundred seventy adults aged 50 and older, 1998 wave.</p><p><b>METHODS: </b>Two groups of respondents were created at baseline: those with and without an LTC insurance policy. Respondents admitted to the nursing home from 1998 to 2006 were identified. Propensity scores were used to control for known predictors of LTC insurance possession. A Cox proportional hazards model was used to compare the probability of nursing home admission over 8 years of follow-up for respondents possessing LTC insurance and those without a policy.</p><p><b>RESULTS: </b>Of the 19,170 respondents aged 50 and older in 1998, 1,767 (9.2%) possessed LTC insurance. A total of 1,778 (8.5%) were admitted to a nursing home during the 8-year period: 149 (8.7%) of those with LTC insurance and 1,629 (8.4%) of those without LTC insurance. The hazard ratio, adjusted for propensity score, for those with LTC insurance entering a nursing home compared with those without was 1.07 (95% confidence interval=0.83-1.38). Likelihood of nursing home admission was relatively low because the low-risk population included in the study, limiting the power to detect small differences in risk of nursing home utilization between groups.</p><p><b>CONCLUSION: </b>There was no difference in nursing home utilization between low-risk older adults who did and did not possess an LTC insurance policy.</p>

DOI10.1111/j.1532-5415.2009.02433.x
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/19694868?dopt=Abstract

Endnote Keywords

Long-Term Care/Insurance, Long Term Care/Nursing Homes

Endnote ID

21150

Alternate JournalJ Am Geriatr Soc
Citation Key7367
PubMed ID19694868
PubMed Central IDPMC2810263
Grant ListU01 AG009740 / AG / NIA NIH HHS / United States
K08 AG019180-05 / AG / NIA NIH HHS / United States
K08 AG019180 / AG / NIA NIH HHS / United States
R01 AG027010-03 / AG / NIA NIH HHS / United States
U01 AG09740 / AG / NIA NIH HHS / United States
R01 AG027010 / AG / NIA NIH HHS / United States
R01 AG027010-02S1 / AG / NIA NIH HHS / United States
K08 AG19180 / AG / NIA NIH HHS / United States