Long-term care-service use and increases in care-need level among home-based elderly people in a Japanese urban area

Koike, Soichi; Furui, Yuji

doi:10.1016/j.healthpol.2012.12.011

Cited by 40 publications

(47 citation statements)

References 16 publications

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“…Second, we based our findings on five functional status levels, and the very limited information might be different from previous studies, such as that carried out by Phillips et al , who based their study on ADL measures . Additionally, some research, including the present study, used care‐need level as an outcome, because the evaluation process of care‐need level is strictly carried out by the government, and a strong correlation between care‐need level and ADL was found in a previous study . However, the validation of the care‐need level measurement has yet to be investigated.…”

Section: Discussionmentioning

confidence: 74%

“…Eligibility for the LTCI is strictly determined by municipalities according to the extent of the physical and mental disability. Seven levels of long‐term care‐need certificates were established beginning with support levels 1 or 2, which are intended to provide preventive services; care‐need level 1 comprises users who are less disabled, and care‐need level 5 comprises users who are most disabled . The certificate is available for a maximum of 2 years (1 year in principle) for persons who renew the certificates, and a maximum of 1 year (6 months in principle) for new LTCI users.…”

Section: Methodsmentioning

confidence: 99%

“…The age (65–74, 75–84, 85–94, >95 years) at baseline and sex were collected . This study used the care‐need level at baseline to adjust the residents’ health status …”

Section: Methodsmentioning

confidence: 99%

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Resident and facility characteristics associated with care‐need level deterioration in long‐term care welfare facilities in Japan

Jin

Tamiya

Jeon

et al. 2018

Geriatrics Gerontology Int

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Aim: To determine the resident and facility characteristics associated with residents' care-need level deterioration in long-term care welfare facilities in Japan.Methods: A nationally representative sample of 358 886 residents who lived in 3774 long-term care welfare facilities for at least 1 year from October 2012 was obtained from long-term care insurance claims data. Facility characteristics were linked with a survey of institutions and establishments for long-term care in 2012. We used a multilevel logistic regression according to the inclusion and exclusion of lost to follow-up to define the resident and facility characteristics associated with resident care-need level deteriorations (lost to follow-up: the majority were hospitalized residents or had died; were treated as deterioration in the including loss to follow-up model).Results: Adjusting for the covariates, at the resident level, older age and lower care-need level at baseline were more likely to show deterioration in the care-need level. At the facility level, metropolitan facilities, unit model (all private room settings) and mixed-model facilities (partly private room settings) were less likely to experience careneed level deterioration. A higher proportion of registered nurses among all nurses was negatively related to careneed level deterioration only in the model including lost to follow-up. A higher proportion of registered dietitians among all dietitians and the facilities in business for fewer years were negatively associated with care-need level deterioration only in the model excluding lost to follow-up. Conclusions:The present study could help identify residents who are at risk of care-need level deterioration, and could contribute to improvements in provider quality performance and enhance competence in the market. Geriatr Gerontol Int 2018; 18: 758-766.

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Section: Discussionmentioning

confidence: 74%

Section: Methodsmentioning

confidence: 99%

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Resident and facility characteristics associated with care‐need level deterioration in long‐term care welfare facilities in Japan

Jin

Tamiya

Jeon

et al. 2018

Geriatrics Gerontology Int

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“…Our findings show that early prediction of the need for long-term care allows careful preparation for discharge, and efficient healthcare planning and financial management, to facilitate early discharge with sufficient care to allow patients to maintain and improve their ADL and functional abilities. The need for a coordinated and organized approach is underpinned by evidence that patients within the LTCI system are less likely to require increased levels of care after discharge [21], and that programs to improve understanding of stroke rehabilitation by patients and their families [22], and social support provided by stroke care networks can reduce the risk of further stroke [23][24][25]. Within the LTCI scheme, patients can request additional care services after consultation with healthcare managers, including community-based services such as home help, visiting rehabilitation, and respite admissions to or longer-term placements in nursing homes.…”

Section: Discussionmentioning

confidence: 99%

Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study

Saji

Kimura

Ohsaka

et al. 2014

Disability and Rehabilitation

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FIM scores on admission after stroke can independently predict later care requirements. Early prediction of LTCI care levels may contribute to the early supported discharge and improve the efficiency of healthcare planning. Implications for Rehabilitation There is a clear relationship between Functional Independence Measure (FIM) scores and the care levels certified by the Long-Term Care Insurance (LTCI) system, a national healthcare and insurance system in Japan. FIM scores on admission can predict future LTCI care levels required for patients after acute stroke. Early prediction of LTCI care levels may contribute to early supported discharge, improve the efficiency of stroke management and assist healthcare planning.

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“…They examined the effects of using any services among LTCI services , as well as of using each home and community‐based service, such as home help and day care services . Outcomes were measured by preventing the decline of care need level , preventing hospitalization/institutionalization , and decreasing mortality . In these previous studies, the effects of service use have not been consistent.…”

Section: Introductionmentioning

confidence: 99%

Patterns of long‐term care services use in a suburban municipality of Japan: a population‐based study

Igarashi

Yamamoto‐Mitani

Yoshie

et al. 2016

Geriatrics Gerontology Int

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Long-term care-service use and increases in care-need level among home-based elderly people in a Japanese urban area

Cited by 40 publications

References 16 publications

Resident and facility characteristics associated with care‐need level deterioration in long‐term care welfare facilities in Japan

Resident and facility characteristics associated with care‐need level deterioration in long‐term care welfare facilities in Japan

Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study

Patterns of long‐term care services use in a suburban municipality of Japan: a population‐based study

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