Health Care Use Before and After Entering Long-Term Services and Supports

Robert Newcomer, Charlene Harrington, Denis Hulett, Taewoon Kang, Michelle J Ko, Andrew Bindman

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


OBJECTIVE: We examined the health care utilization patterns of Medicare and Medicaid enrollees (MMEs) before and after initiating long-term care in the community or after admission to a nursing facility (NF).

METHOD: We used administrative data to compare hospitalizations, emergency department (ED) visits, and post-acute care use of MMEs receiving long-term care in California in 2006-2007.

RESULTS: MMEs admitted to a NF for long-term care had much greater use of hospitalizations, ED visits, and post-acute care before initiating long-term care than those entering long-term care in the community. Post-entry, community service users had less than half the average monthly hospital and ED use compared with the NF cohort.

CONCLUSION: Hospital and ED use prior to and following NF and personal care program entry suggest a need for reassessing the monitoring of these high-risk populations and the communication between health and community care providers.

Original languageEnglish (US)
Pages (from-to)26-40
Number of pages15
JournalJournal of applied gerontology : the official journal of the Southern Gerontological Society
Issue number1
StatePublished - Jan 1 2018
Externally publishedYes


  • emergency department use
  • home and community-based services
  • hospital use
  • nursing facilities
  • personal care

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


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