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Journal of Aging and Health
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Article

Dying in a Nursing Home: The Role of Local Bed Supply in Nursing Home Discharges

Frederic H. Decker, PhD*

Centers for Disease Control and Prevention

* To whom correspondence should be addressed. E-mail: fdecker{at}cdc.gov.


  Abstract
Objective: The relationship of nursing home (NH) discharges due to death to NH bed supply and hospital bed supply was examined. Method: Data on discharges came from the 1999 National Nursing Home Survey (N = 6,335). County-level bed supply, controls for hospice agency supply, and a nursing facility’s percentage of area NH beds came from the Area Resource File. Multinomial logistic regression was used to compare deaths with live discharges. Marginal effects were calculated. Results: Discharges due to death increased with increasing NH bed supply and decreased in areas with greater hospital bed supply, areas where hospitalizations were more likely. Hospice supply and a facility’s share of area NH beds also affected the probability of discharges due to death. Discussion: Supply factors appear related to discharge decisions in a manner affecting the probability of discharges due to death, although the magnitude of the relationship may be less than expected.

First published on November 27, 2007, doi:10.1177/0898264307309935

Journal of Aging and Health 2008;20:66.

A more recent version of this article appeared on February 1, 2008

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