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Mortality differences in disabled older adults by place of care in Japan: nationwide 10-year results.
Ito, Tomoko; Sato, Mikiya; Takahashi, Hideto; Omori, Chihiro; Taniguchi, Yuta; Jin, Xueying; Watanabe, Taeko; Noguchi, Haruko; Tamiya, Nanako.
Afiliación
  • Ito T; Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Sato M; Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Takahashi H; Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki, Japan. mksatou-mi@umin.ac.jp.
  • Omori C; Health Services Center, Human Resources Group, Sumitomo Heavy Industry, Ltd., Shinagawa, Tokyo, Japan. mksatou-mi@umin.ac.jp.
  • Taniguchi Y; National Institute of Public Health, Wako, Saitama, Japan.
  • Jin X; Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Watanabe T; Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Noguchi H; Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Tamiya N; National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
J Public Health Policy ; 43(4): 542-559, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36307550
This longitudinal study aimed to compare 1-year mortality between users of home- and community-based services (HCBS) and residential facilities (nursing homes, group homes, and geriatric apartments) among non-hospitalized frail older adults in Japan. Using three nationwide data sources, we conducted a nationwide pooled cohort study of 1-year follow-up among certified users of long-term care insurance (LTCI) aged 65 years and older from 2007 through 2016 to compare 1-year mortality using a logistic regression model. Overall, compared to HCBS users, mortality was higher in residents in nursing homes and geriatric apartments but lower in group home residents. While mortality gradually increased over time among those in residential facilities, it remained at a level similar to that of HCBS users. Since 2006, Japan's public health policy has been to increase end-of-life care in residential facilities. Our results indicate that this policy resulted in an increase in mortality in residential facilities, possibly due to accommodation of more severely ill people there, or a shift in their focus from transferring dying residents to hospitals to preserve the dignity of residents.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Casas de Salud Tipo de estudio: Observational_studies Límite: Aged / Humans País/Región como asunto: Asia Idioma: En Revista: J Public Health Policy Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Casas de Salud Tipo de estudio: Observational_studies Límite: Aged / Humans País/Región como asunto: Asia Idioma: En Revista: J Public Health Policy Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido