Long-Term Care

Spousal Caregivers Are Caregiving Alone In The Last Years Of Life

Caregiving in the last years of life is associated with increased depression and negative health outcomes for surviving spouses, many of whom are themselves in poor health. Yet it is unclear how often spouses are caregiving alone, how they differ from supported spouses, and whether lack of support affects postbereavement outcomes. We hypothesized that spouses […]

U.S. Nursing Home Violations of International and Domestic Human Rights Standards

We present a review of the international covenants and conventions and U.S. domestic laws and regulations that are designed to protect nursing home residents in the United States. Based on a review of research studies, government reports, and news reports, we found extensive evidence of widespread and systematic abuse and neglect of nursing home residents […]

Long-term Care Providers and Services Users in the United States, 2015–2016

This report presents the most current national results from the National Study of Long-Term Care Providers (NSLTCP) conducted by the National Center for Health Statistics (NCHS) to describe providers and services users in five major sectors of paid, regulated long-term care services in the United States. This report provides information on the supply, organizational characteristics, […]

Effects of long‐term care setting on spousal health outcomes

Over the past three decades, there has been a large expansion in noninstitutional long‐term care (LTC) use, and public financing of long‐term care services has been shifting away from nursing homes toward home and community‐based services (HCBS). Medicaid, the primary payer for LTC for elderly people, spent 46% of its total LTC dollars on HCBS […]

A National Examination Of Long-Term Care Setting, Outcomes, And Disparities Among Elderly Dual Eligibles

The benefits of expanding funding for Medicaid long-term care home and community-based services (HCBS) relative to institutional care are often taken as self-evident. However, little is known about the outcomes of these services, especially for racial and ethnic minority groups, whose members tend to use the services more than whites do, and for people with […]