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Nursing Homes and the Roemer-Feldstein Hypothesis

Bibliographic Data

ID9100003
AuthorsThomas R Willemain (0000-0002-1851-7070, New York Medical College, corresponding author), Matthew E Farber, Matthew Farber (0000-0003-2819-6263, New York Medical College, corresponding author)
Year1976
Volume14
Issue10
Pages880-883
Publication date1976-10-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197610000-00009
PMID972563
OpenAlexW2031963585
LanguageEN
Citations received5

The theory of certification-of-need is based in large part on the Roemer-Feldstein hypothesis, which holds that demand for services is proportional to bed supply. Athough developed solely from hospital data, this hypothesis is commonly assumed to hold for nursing homes as well. In fact, a high correlation between nursing home bed supply and bed utilization does exist. However, the rate of utilization should not be judged without reference to the appropriateness of use. Analysis of nursing home placement data revealed that overplacement of patients in skilled nursing facilities decreased as bed supply increased. These results suggest that the Roemer-Feldstein hypothesis may provide an inadequate rationale for regulation of nursing home bed supply. Further developments should be based on more sophisticated notions of bed supply, should make reference to the appropriateness of services, and should be subjected to empirical verification

MEDLINE · Chemistry · Geriatric Care and Nursing Homes · Medicine · Nursing · Psychology

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    Stan N Finkelstein•Medical Care•1980

  • Determinants of Nursing Home Discharge Status

    William G Weissert, William J Scanlon•Medical Care•1985

  • Geographic differences in the use of veterans administration hospitals

    Open Access•Lois Fri, Lois Friss et al.•Social Science & Medicine•1989

Citations per year0.11
Citation span1980 - 1989 (10)
Highly citedNo

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