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Differences in characteristics of adult day services centers, by level of medical service provision
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  • Description:
    Objectives: This report provides estimates of the most current nationally representative distribution of adult day services centers (ADSCs) and participants by level of the center’s medical service provision. It also examines differences in organizational characteristics, participant characteristics, and geographical characteristics of ADSCs by medical service provision.

    Methods: Data are from the ADSC component of the 2016 National Study of Long-Term Care Providers. ADSCs are examined by level of medical service provision, defined as ranging from nonmedical to low medical to moderate medical to high medical based on ADSC directors’ self-identification of their centers’ services and participant needs served. ADSC organizational characteristics, geographic characteristics, and participant characteristics (referred to as “case-mix”) were examined according to level of medical service provision.

    Results: In 2016, 16.1% of ADSCs were nonmedical, 30.6% were low medical, 39.7% were moderate medical, and 13.5% were high medical. Daily attendance, Medicaid licensure, nurse staffing levels, use of electronic health records and any health information exchange with physicians, pharmacies, and hospitals all increased with increasing level of medical service provision. Among participants, there was a significant increase by increasing level of medical service provision in the percentage of participants who were Hispanic and non-Hispanic races other than white or black, aged 65 and over, diagnosed with selected conditions, needed assistance with any activities of daily living, lived in a private residence alone, had Medicaid, and had any adverse events.

    The percentage of centers located in metropolitan statistical areas and those located in the Northeast and South census regions increased with increasing level of medical service provision.

    Conclusion: This report’s findings provide the most up-to-date description of the spectrum of ADSC level of medical service provision. These results suggest that ADSCs are varied in the level of medical services they provide and patient characteristics differ according to service provision of an ADSC.

    Suggested citation: Rome V, Lendon JP, Harris-Kojetin L. Differences in characteristics of adult day services centers, by level of medical service provision. National Center for Health Statistics. Vital Health Stat 3(45). 2020.

    CS319762

    sr03-45-508.pdf

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