Download eBook for Free

FormatFile SizeNotes
PDF file 1.4 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 Format Price
Add to Cart Paperback68 pages $25.00

The Nursing Home Connection — a demonstration project sponsored by the Massachusetts Department of Public Welfare with waivers from the Health Care Financing Administration, U.S. Department of Health and Human Services — tests the use of provider teams made up of physicians and nurse practitioners or physician assistants (NPs/PAs) to treat nursing home patients. Within this model, NPs/PAs assume much of the primary care responsibility for nursing home patients. The program seeks to demonstrate that these provider teams will deliver higher quality care to nursing home patients at lower overall costs. This Note analyzes the nursing home visit patterns of demonstration providers. The authors conclude that (1) visit intervals have lengthened as the demonstration has matured, (2) older and perhaps more needy patients have shorter intervals between visits, (3) patients with shorter nursing home stays have shorter intervals between visits, (4) patients enrolled with groups where physicians make larger shares of the visits have longer intervals between visits, and (5) patients in nursing homes with larger numbers of demonstration patients have shorter intervals between visits.

This report is part of the RAND note series. The note was a product of RAND from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.