The geographical distribution of nursing homes can significantly distort small-area life expectancy estimations. Consequently, uncorrected life expectancies should not be used for small-area life expectancy comparisons. Instead, several nursing home corrections have been proposed. The practical use of these corrections, however, is severely limited by data availability. This paper introduces a new, model-based nursing home correction that requires considerably less detailed nursing home data. A formal comparison shows that the proposed model-based approach is the recommended correction for all small-area life expectancy estimations where detailed previous residential address information of the nursing home population is not available. This makes the approach highly relevant for a wide range of empirical applications.

Bayesian analysis, Life expectancy, Nursing homes, Small-area analysis, Urban health,
ERIM Top-Core Articles
Health & Place
Erasmus Research Institute of Management

Jonker, M.F, van Lenthe, F.J, Donkers, A.C.D, Congdon, P.D, Burdorf, A, & Mackenbach, J.P. (2013). The impact of nursing homes on small-area life expectancies. Health & Place, 19(1), 25–32. doi:10.1016/j.healthplace.2012.09.012