biostudies-literature00610Unknown47(6)Grabowski DC<h4>Objective</h4>To analyze the effect of market-level changes in assisted living supply on nursing home utilization and resident acuity.<h4>Data sources</h4>Primary data on the supply of assisted living over time were collected from 13 states from 1993 through 2007 and merged with nursing home-level data from the Online Survey Certification and Reporting System and market-level information from the Area Resource File.<h4>Study design</h4>Least squares regression specification incorporating market and time-fixed effects.<h4>Principal findings</h4>A 10 percent increase in assisted living capacity led to a 1.4 percent decline in private-pay nursing home occupancy and a 0.2-0.6 percent increase in patient acuity.<h4>Conclusions</h4>Assisted living serves as a potential substitute for nursing home care for some healthier individuals with greater financial resources, suggesting implications for policy makers, providers, and consumers.Health services research2296-315https://www.ebi.ac.uk/biostudies/studies/S-EPMC3523376biostudies-literatureAssisted living expansion and the market for nursing home care.PMC3523376Stevenson DGCornell PYGrabowski DC61falseAssisted living expansion and the market for nursing home care.<h4>Objective</h4>To analyze the effect of market-level changes in assisted living supply on nursing home utilization and resident acuity.<h4>Data sources</h4>Primary data on the supply of assisted living over time were collected from 13 states from 1993 through 2007 and merged with nursing home-level data from the Online Survey Certification and Reporting System and market-level information from the Area Resource File.<h4>Study design</h4>Least squares regression specification incorporating market and time-fixed effects.<h4>Principal findings</h4>A 10 percent increase in assisted living capacity led to a 1.4 percent decline in private-pay nursing home occupancy and a 0.2-0.6 percent increase in patient acuity.<h4>Conclusions</h4>Assisted living serves as a potential substitute for nursing home care for some healthier individuals with greater financial resources, suggesting implications for policy makers, providers, and consumers.2012-01-01T00:00:00Z2012 Dec2024-11-09T15:06:41.312Z2019-03-27T01:01:51ZS-EPMC35233762257803910.1111/j.1475-6773.2012.01425.x