Long-Term Care Services in the United States: 2013 Overview.

Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). Data presented in this report are drawn from five sources: NCHS surveys of adult day services centers and residential care communities, and administrative records obtained from the Centers for Medicare and Medicaid Services on home health agencies, hospices, and nursing homes. This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.

[1]  Peter Kemper,et al.  Long-Term Care over an Uncertain Future: What Can Current Retirees Expect? , 2005, Inquiry : a journal of medical care organization, provision and financing.

[2]  Micah B. Hartman,et al.  National health spending in 2011: overall growth remains low, but some payers and services show signs of acceleration. , 2013, Health affairs.

[3]  L. Harris-Kojetin,et al.  Residents living in residential care facilities: United States, 2010. , 2012, NCHS data brief.

[4]  R. Stone.  Emerging Issues in Long-Term Care , 2006 .

[5]  J. Wiener,et al.  Meeting the Long-Term Care Needs of the Baby Boomers: How Changing Families Will Affect Paid Helpers and Institutions , 2007 .

[6]  M. Laplante,et al.  Long-term care: who gets it, who provides it, who pays, and how much? , 2010, Health affairs.

[7]  C. Harrington,et al.  Staffing characteristics, turnover rates, and quality of resident care in nursing facilities. , 2008, Research in gerontological nursing.

[8]  Kirsten J. Colello,et al.  Long-Term Services and Supports: Overview and Financing [February 8, 2012] , 2012 .

[9]  John Engberg,et al.  The influence of staffing characteristics on quality of care in nursing homes. , 2007, Health services research.

[10]  H. Kaye.  Disability rates for working-age adults and for the elderly have stabilized, but trends for each mean different results for costs. , 2013, Health affairs.

[11]  M. Rantz,et al.  Systematic review of studies of staffing and quality in nursing homes. , 2006, Journal of the American Medical Directors Association.

[12]  Pamela Doty,et al.  The Evolving Balance of Formal and Informal, Institutional and Non-Institutional Long-Term Care for Older Americans: A Thirty-Year Perspective , 2010 .

[13]  K. Langa,et al.  Prevalence of Dementia in the United States: The Aging, Demographics, and Memory Study , 2007, Neuroepidemiology.

[14]  J. Wiener.  After CLASS: the long-term care commission's search for a solution. , 2013, Health affairs.

[15]  S. Katz,et al.  Progress in development of the index of ADL. , 1970, The Gerontologist.

[16]  J. Wiener,et al.  Design and operation of the 2010 National Survey of Residential Care Facilities. , 2011, Vital and health statistics. Ser. 1, Programs and collection procedures.

[17]  R. Mollica.  State Medicaid Reimbursement Policies and Practices in Assisted Living , 2009 .

[18]  S. Zimmerman,et al.  Determinants and effects of nurse staffing intensity and skill mix in residential care/assisted living settings. , 2007, The Gerontologist.