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The Utilization of Different Modes of Residence and Health Services by the Elderly


  • Kenneth A. Couch
  • Alice Zawacki


Demand for health services are examined among Americans ages 65 and older using the Medical Expenditure Panel Survey. Analyses are provided of mode of residence, demand for paid health services in private settings, and the choice of type of nursing home using a common set of explanatory variables. The research shows that age, Medicare coverage, and the use of assistive technology are the strongest predictors of mode of residence. The second analysis shows that total expenditures for paid home health care (HHC) and hospital care do not decrease as expected when the percentage paid by individuals and/or their families increases. Finally, the third analysis suggests that the distribution of nursing home (NH) services is related to ability to pay.

Suggested Citation

  • Kenneth A. Couch & Alice Zawacki, 2001. "The Utilization of Different Modes of Residence and Health Services by the Elderly," Working Papers 01-14, Center for Economic Studies, U.S. Census Bureau.
  • Handle: RePEc:cen:wpaper:01-14

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    References listed on IDEAS

    1. Barry R. Chiswick, 1975. "The Demand for Nursing Home Care: An Analysis of the Substitution Between Institutional and Noninstitutional Care," NBER Working Papers 0098, National Bureau of Economic Research, Inc.
    2. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-277, June.
    3. Freedman, V.A., 1996. "Family Structure and the Risk of Nursing Home Admission," Papers 96-10, RAND - Reprint Series.
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    More about this item


    CES; economic; research; micro; data; microdata; chief; economist;

    JEL classification:

    • R3 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Real Estate Markets, Spatial Production Analysis, and Firm Location
    • L0 - Industrial Organization - - General


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