Assessing the Allocation of Special Elderly Nursing Homes in Tokyo, Japan

You, Ninglong; Shen, Zhenjiang; Nishino, Tatsuya

doi:10.3390/ijerph14101102

Cited by 5 publications

(3 citation statements)

References 25 publications

(36 reference statements)

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“…The service radius of the RCFs was measured using the travel distance. Borrowing the idea of setting different service radiuses for different organizations from existing studies [33,62] and drawing on Yin's findings [63], we set different service radiuses for different types of care facilities for the elderly (see Table 1). Speeds of 60 km/h, 40 km/h, 30 km/h, and 20 km/h were set for the expressways, trunk roads, secondary roads, and side roads in the city, respectively.…”

Section: Parameter Settingmentioning

confidence: 99%

Spatial Equality of Urban Care Facilities from the Perspective of Refinement: An Example from Changchun, China

Zhang,

Chen,

et al. 2023

Land

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Care facilities are the mainstay of social services for the elderly. As the trend of empty nesting among elderly families intensifies due to the aging population, it is becoming difficult for families to take on the responsibility of caring for the elderly on their own, and the elderly need more formal care to be provided by society. The contradiction between the lag in the construction of care facilities and the growth in the social demand for elderly care has been highlighted, and the spatial equality of care facilities is an important means of achieving an optimal allocation of resources for elderly care. In this paper, we use the two-step floating catchment method to measure the spatial accessibility of care facilities from a fine-grained perspective, using big data, including mobile phone signaling data and points of interest. Then, we use the Gini coefficient to analyze the equality of the spatial allocations of different types of urban care facilities. The results of the study show that, first, the spatial equality of care facilities is good in terms of the Gini coefficient, but the overall spatial accessibility of care facilities is at a relatively low level compared to that in developed cities. This means that the layout of Changchun’s care facilities is good, but there is insufficient service capacity. Second, the spatial accessibility of residential care facilities is characterized by a gradual decline, with high levels in the core and low levels in the periphery. Fewer facilities are located in the peripheral areas of the city, and spatial accessibility is at a lower level, a characteristic different from that seen in cities with a higher level of economic development, such as Beijing. Third, the spatial accessibility of community care facilities showed a polycentric, contiguous distribution. The effect of the study scale on the spatial accessibility of community care facilities was more pronounced, with large scales obscuring the high values of the spatial accessibility of community care facilities in peripheral areas. Fourth, Changchun has better overall equality of care facilities, with differences in the different types and areas of care provided. The spatial balance of care facilities in the core area is better than that observed in other regions. In conclusion, this paper underscores the value of big data, such as mobile phone signaling data, in supporting refined urban research. Furthermore, our comprehensive analysis of social care facility equality can inform policy making and spatial planning.

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Section: Parameter Settingmentioning

confidence: 99%

Spatial Equality of Urban Care Facilities from the Perspective of Refinement: An Example from Changchun, China

Zhang,

Chen,

et al. 2023

Land

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“…Japan, along with the rest of the world, is facing an increasingly aging population, and the number of users in facilities for the elderly has, likewise, been increasing [5]. We are also engaged in oral health care at geriatric facilities, and also recently encountered a case of denture loss that made us interested in the issue of denture loss at geriatric facilities.…”

Section: Introductionmentioning

confidence: 99%

Current Denture Loss in Geriatric Facilities

et al. 2022

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Purpose: Denture loss is still being reported as a problem in geriatric facilities, although losses seem less frequent than in the last decade. However, there have been no reports that have examined recent losses of dentures in detail. The aim of this study was to clarify the actual situation of recent denture loss, together with the denture loss rate in Japan. Materials and methods: This retrospective study investigated the number of cases of denture loss, the denture loss rate for denture wearers, and the details of losses in geriatric facilities during the 1-year period from 1 April 2020 to 31 March 2021. Results: Eleven special elderly nursing homes and four group homes participated in this research. The number of residents from each was 315 and 40 and the number of denture wearers was 165 and 33, respectively (p < 0.001). The loss of dentures was found in one case from a special elderly nursing home and in one case from a group home. The loss rate for denture wearers was 1.01% in total, with 0.61% for special elderly nursing homes and 3.03% for group homes, with no significant differences between the two types of facilities. Conclusion: In geriatric facilities in Japan, the current 1-year denture loss rate for denture wearers was 1.01%. This seems to represent a considerable decrease when compared with the previous report. Further, proper denture management and staff efforts appear to have contributed to a reduction in denture loss against a background of promoting oral healthcare.

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“…The assessments of (current) spatial patterns of provision at different spatial reference levels, considering the socio-economic profile and needs of the population-for the city context (city, neighbourhoods), see, for instance, ref. [42] for Tokyo; and for national and regional contexts, ref. [41] for Chile and [43] for the Czech Republic.…”

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confidence: 99%

Appraisal of Provision Structures of Nursing Homes for Old Persons—Illustrated by Cross-Sectional Data for East Tyrol

Fischer,

Moder,

Jobst

2023

Sustainability

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(1) Background: In Austria, stationary long-term care facilities for old persons in need of care are increasingly at the centre of the discussion on sustainable long-term care for old persons. So far, there is a lack of research addressing problems of fit from a spatial planning perspective. This case study on East Tyrol aims to appraise provision structures of stationary long-term care for old persons focusing on nursing homes (LTC) with regard to any intra-regional disparities. (2) Methods: Catchments and Bradshaw’s taxonomy of social needs serve as the conceptual framework. Real-world data on residents and applicants up to a certain cut-off date in 2022 for four nursing homes are statistically analysed at different spatial reference levels. The GIS mapping of catchments focuses on the intra-regional level. The findings are discussed transdisciplinarily. (3) Results: Intra-regional disparities with regard to the level of provision are evident. There are: 1) LTC-specific differences related to catchments with regard to LTC residents and applicants and travel efforts for visitors; and 2) valley-related differences with regard to nursing home choice. Normatively determined catchments broadly match the actual catchments. (4) Conclusions: This study could serve as a starting point for discussing methodological limitations of waiting lists as a parameter for unmet demand. Shortcomings of provision in relation to (future) demand as well as the significance of longitudinal studies for assessing the stability of catchments and area-wide coverage become apparent.

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Assessing the Allocation of Special Elderly Nursing Homes in Tokyo, Japan

Cited by 5 publications

References 25 publications

Spatial Equality of Urban Care Facilities from the Perspective of Refinement: An Example from Changchun, China

Spatial Equality of Urban Care Facilities from the Perspective of Refinement: An Example from Changchun, China

Current Denture Loss in Geriatric Facilities

Appraisal of Provision Structures of Nursing Homes for Old Persons—Illustrated by Cross-Sectional Data for East Tyrol

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