Recent increases in the number of those with health care needs who live at home in Japan highlight the importance of maintaining a healthy community environment for long-term care. This study characterized continuing long-term home-based care for patients with health care needs in a rural community through an examination of influential factors, as perceived by family caregivers of patients with care needs. Semistructured interviews revealed self-reliance as the most important factor. Promoting the quality of a family caregiver's life was also found to be important. Family caregiver support is required considering the character of a rural community and residents' ideologies.
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