The impact of nursing homes on small-area life expectancies

Health Place. 2013 Jan:19:25-32. doi: 10.1016/j.healthplace.2012.09.012. Epub 2012 Oct 12.

Abstract

The geographical distribution of nursing homes can significantly distort small-area life expectancy estimations. Consequently, uncorrected life expectancies should not be used for small-area life expectancy comparisons. Instead, several nursing home corrections have been proposed. The practical use of these corrections, however, is severely limited by data availability. This paper introduces a new, model-based nursing home correction that requires considerably less detailed nursing home data. A formal comparison shows that the proposed model-based approach is the recommended correction for all small-area life expectancy estimations where detailed previous residential address information of the nursing home population is not available. This makes the approach highly relevant for a wide range of empirical applications.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bayes Theorem
  • Bias
  • Female
  • Homes for the Aged / statistics & numerical data*
  • Humans
  • Life Expectancy / trends*
  • Male
  • Nursing Homes / statistics & numerical data*
  • Residence Characteristics / statistics & numerical data*
  • Small-Area Analysis