Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data

Naruse, Takashi; Matsumoto, Hiroshige; Fujisaki-Sakai, Mahiro; Nagata, Satoko

doi:10.1186/s12913-017-2322-0

Cited by 17 publications

(21 citation statements)

References 21 publications

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“…The 4 selected studies 18 – 21 are shown in Table 1 . These were studied in each prefecture in the whole of Japan (1 study 18 ) or municipalities in the prefecture (3 studies 19 , 21 ).…”

Section: Resultsmentioning

confidence: 99%

“…The 4 selected studies 18 – 21 are shown in Table 1 . These were studied in each prefecture in the whole of Japan (1 study 18 ) or municipalities in the prefecture (3 studies 19 , 21 ). Target subjects were older people (3 studies 18 , 20 , 21 ) and patients with pressure ulcers (1 study 19 ).…”

Section: Resultsmentioning

confidence: 99%

“…These were studied in each prefecture in the whole of Japan (1 study 18 ) or municipalities in the prefecture (3 studies 19 , 21 ). Target subjects were older people (3 studies 18 , 20 , 21 ) and patients with pressure ulcers (1 study 19 ). The main aim of the selected studies was to examine the distribution of home care nursing using GIS.…”

Section: Resultsmentioning

confidence: 99%

“…The main aim of the selected studies was to examine the distribution of home care nursing using GIS. In total, 2 studies used ArcGIS software, 19 , 21 1 used MANDARA, 18 and 1 used spatial information system (SIS). 20 The main GIS methods used were “mapping” to visualize the distribution and “buffer” to evaluate the coverage area.…”

Section: Resultsmentioning

confidence: 99%

“…20 The main GIS methods used were “mapping” to visualize the distribution and “buffer” to evaluate the coverage area. There were 2 types of GIS data used in the selected studies: (1) data for patients obtained based on written consent from that municipality 21 and (2) data for home nursing stations and medical facilities obtained from public information on the homepages of municipalities and academic societies. 18 – 21 …”

Section: Resultsmentioning

confidence: 99%

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Research on Home Care Nursing in Japan Using Geographic Information Systems: A Literature Review

et al. 2018

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Given Japan’s super-ageing society and its need for developing community-based integrated care system, the role of home care nursing is becoming increasingly important. A central concern in home care nursing is regional/spatial placement of home nursing stations and accessibility for patients. Analysis based on geographic information systems (GIS) may be useful in home care nursing research. We conducted a literature review of home care nursing research based on GIS in Japan. A total of 4 articles were selected following a search of medical literature databases. The first report was published in 2014. Most subjects in the identified studies were older people. Most studies were implemented at a municipal level. Key themes in the identified studies were “placement of specialists and home nursing stations” and “placement of home nursing stations and target patients.” Despite the paucity of research, as all identified studies examined the community areas with an aged population, it may point to the need to consider community-based integrated care systems, including home care nursing, in Japan. More GIS-based research on home care nursing is called for.

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“…The 4 selected studies 18 – 21 are shown in Table 1 . These were studied in each prefecture in the whole of Japan (1 study 18 ) or municipalities in the prefecture (3 studies 19 , 21 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Research on Home Care Nursing in Japan Using Geographic Information Systems: A Literature Review

et al. 2018

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Spatial accessibility of home visiting nursing: An exploratory ecological study

Ohashi,

Sato,

Fujiwara

et al. 2024

Health Science Reports

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Background and AimsJapan is one of the oldest societies worldwide and manages a system of care for older adults in the community. In the 2000s, a community‐based integrated care system was introduced to enable older adults to live in their neighborhoods. Home visiting nursing (HVN) is a crucial component of this system; however, the current and future shortage of home visiting nurses is a concern. Thus, HVN services may not be available in some areas; however, no indicators of the accessibility of HVN services have been developed. Developing accessibility indicators will serve as a standard for considering the allocation of health care resources and supporting future nursing policies that improve regional disparities.MethodsWe estimated the population‐weighted spatial accessibility index (PWSAI) of HVN services in Hokkaido, using the two‐step floating catchment area method (2SFCA). The 2SFCA comprised population, location of HVN agencies, number of home visiting nurses, and travel time. A multivariate regression model was run for the number of HVN users in each municipality as the objective variable to test the validity of the PWSAI; the number of home care support clinics, home care support hospitals, HVN agencies, home visiting nurses, home visiting nurses (24/7), total beds in health care facilities for older adults, and nursing homes for older adults were included as other explanatory variables.ResultsThe PWSAI was median 9.0 [interquartile range: 6.2−11.8]. The distribution of the PWSAI was mapped to visualize the existence of regional differences. As a result of the conditional autoregressive model, PWSAI and home visiting nurses (24/7) were significant, Exp(β) and 95% credible interval were 1.043 [1.015−1.076] and 1.021 [1.006−1.036], respectively.ConclusionThe PWSAI was positively correlated with the number of HVN users in each municipality and can serve as an indicator for assessing the accessibility of HVN.

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Implications of Geographic Information Systems (GIS) for targeted recruitment of older adults with dementia and their caregivers in the community: A retrospective analysis

Scerpella¹,

Adam

Marx³

et al. 2019

Contemporary Clinical Trials Communications

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5.5 million Americans are living with Alzheimer's dementia (AD) or related dementias. Developing evidence-based interventions for these people and their caregivers (dyads) is a public health priority, and is highly dependent on recruiting representatives from the community. Precision recruitment methodologies are needed to improve the efficiency of this process. Geographic Information Systems (GIS) offer the potential to determine location trends of an older adult population of people living with dementia in the community and their caregivers.American Community Survey (ACS) 2015 5-year estimates were analyzed at the census tract level in ESRI ArcMap v. 10.5.1. Datasets included summarized estimates of age, gender, income, and education in Maryland. Using a two-step process, geographic regions were identified in ArcMap that contained various combinations of available data variables. These areas were compared to participant locations from a previously completed traditional recruitment effort to determine overlap (Dementia Behavior Study - R01AGO41781).The largest number of existing participants were identified in derived regions defined by combining age, education, gender, and income variables; predicting 184 (79%) of 234 participants regardless of the population density within census tracts. 208 (89%) were identified when matching this variable combination to the highest density census tracts (city/urban), and 66 (28%) in regions with the lowest population density (rural).This study successfully defined specific geographic regions in the state of Maryland that overlapped with a large number of known dementia dyad locations obtained via traditional recruitment efforts. Implications for these findings allow for more targeted recruitment efforts of difficult to recruit populations, and less utilization of resources for doing so.

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Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data

Cited by 17 publications

References 21 publications

Research on Home Care Nursing in Japan Using Geographic Information Systems: A Literature Review

Research on Home Care Nursing in Japan Using Geographic Information Systems: A Literature Review

Spatial accessibility of home visiting nursing: An exploratory ecological study

Implications of Geographic Information Systems (GIS) for targeted recruitment of older adults with dementia and their caregivers in the community: A retrospective analysis

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