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

Igarashi, Ayumi; Yamamoto‐Mitani, Noriko; Yoshie, Satoru; Iijima, Katsuya

doi:10.1111/ggi.12781

Cited by 15 publications

(15 citation statements)

References 17 publications

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“…The non-linear association that was found in the present study might indicate an imbalance between demand (care needs level) and supply (care provided) in the long-term care system in Japan, suggesting that family caregivers of patients with moderate care needs level (requiring long-term care 2-3) needed more support than those with severe care needs level. In Japan, based on the patients' care needs level, the long-term care system provides the patients who require a level of long-term care 1 with the light use of care services (home help, assistive device), those who require the level of long-term care 2 with day care with rehabilitation, those who require a level of long-term care 3 with short-stay respite care, and those who require the level of long-term care 4 and 5 with compound use of visiting services [23]. To improve the imbalance between the demand and supply in the Japanese long-term care system, more frequent use of day care and short-stay respite care, and the use of visiting services might be effective for patients who require the level of long-term care 2-3.…”

Section: Discussionmentioning

confidence: 99%

The Level of Care Needs of Patients With Cancer and the Time-dependent Burden on Their Family Caregivers in Home Palliative Care: A Cross-Sectional Study

Otsuki

Yamamoto

Sakaguchi

et al. 2021

Preprint

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PurposeAlthough home care improves patients' quality of life (QOL), several studies have suggested that home care lowers the QOL and mortality of family caregivers. To alleviate the deleterious impact of home care on caregivers, the major burdens on caregivers and the clinical characteristics of the caregivers vulnerable to the major burden needs to be clarified. MethodA survey questionnaire was distributed to 710 family caregivers of patients with cancer in Japan, and 342 valid responses were obtained (valid response rate: 48.2%). The Burden Index of Caregivers was used to identify the major burden on caregivers. To assess the associations of the patients' care needs level and other clinically relevant factors with the major burden, a multivariable-adjusted logistic regression model was used. ResultsThe time-dependent burden was identified as a major burden. An adjusted model showed a non-linear association between the care needs level and the time-dependent burden, in which the caregivers of the patients who required moderate care needs level had the highest time-dependent burden [adjusted odds ratio of none, mild, moderate, and severe care needs levels: 0.50 (95% confidence interval 0.07–2.12), 1.08 (0.43–2.57), 1.87 (1.01–3.52), and 1.00 (reference), respectively]. Additionally, older patients and younger caregivers were significantly associated with a time-dependent burden. ConclusionThe time-dependent burden was highest in caregivers at the moderate care needs level and younger caregivers. An imbalance between the demand and supply of care services may be improved by considering the clinical characteristics of both patients and caregivers.

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Section: Discussionmentioning

confidence: 99%

The Level of Care Needs of Patients With Cancer and the Time-dependent Burden on Their Family Caregivers in Home Palliative Care: A Cross-Sectional Study

Otsuki

Yamamoto

Sakaguchi

et al. 2021

Preprint

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“…Some researchers have inferred that a possible reason for this inconsistency is that HCBS users often use multiple services together, and the combination of different services might cause different effects (Igarashi et al, 2017). Therefore, in recent years, studies have begun to explore the impact resulting from the use of multiple services (Han et al, 2021; Igarashi et al, 2017; Jorgensen et al, 2018; Lunt et al, 2020; Rahman et al, 2019; Wang et al, 2021; Yu et al, 2020). In addition, the WHO Guidelines on Integrated Care for Older People (ICOPE) emphasises the importance of integrating long‐term care services in communities.…”

Section: Introductionmentioning

confidence: 99%

“…Generally speaking, home-based services might have a more positive effect on physical function than community-based services (Ishibashi & Ikegami, 2010;Koike & Furui, 2013), but, again, there is no consensus and some researchers are of the opposite opinion (Lee et al, 2019). Some researchers have inferred that a possible reason for this inconsistency is that HCBS users often use multiple services together, and the combination of different services might cause different effects (Igarashi et al, 2017). Therefore, in recent years, studies have begun to explore the impact resulting from the use of multiple services (Han et al, 2021;Igarashi et al, 2017;Jorgensen et al, 2018;Lunt et al, 2020;Rahman et al, 2019;Wang et al, 2021;Yu et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Latent class analyses (LCA) have been popular in recent years to identify subgroups based on estimated posterior membership, such as pattern of HCBS use (Wang et al, 2021). Thus, researchers have recently begun focusing on the impacts and outcomes of HCBS use patterns instead of evaluating effects of single-type HCBS (Han et al, 2021;Igarashi et al, 2017;Jorgensen et al, 2018;Lunt et al, 2020;Rahman et al, 2019;Wang et al, 2021;Yu et al, 2020). Most studies exploring the effects of different patterns of multiple HCBS use, however, have preliminarily focused on nursing home admission (Jorgensen et al, 2018;Wang et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Effect of different patterns of home‐ and community‐based services in Taiwan on the changes in physical function

Chen

Zhong

et al. 2022

Health Social Care Comm

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Our study aimed to explore the impact of different home‐ and community‐based service (HCBS) use patterns on older adults' physical function. The cohort data were drawn from two national datasets, the National Ten‐Year Long‐Term Care Plan 1.0 database and the National Health Insurance Program claims data. Participants were care recipients ages 65 and over, first evaluated and prescribed HCBS from 2010 through 2013 and evaluated again after 6 months (n = 32,392). Latent class analysis was used to identify subgroups with different HCBS use patterns. Multiple regression was used to examine the impact of different HCBS use patterns on change over time in disability related to activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The analysis was stratified by respondents' levels of disability. Four subgroups of HCBS recipients were identified, with patterns of home‐based personal care, home‐based personal care and medical care, home‐based medical care and community care services. Older adults in the Home‐based MpC had significantly more improvement in both ADL (p < 0.05) and IADL (p < 0.001) scores compared with adults in the other three groups, while the community care group regressed the most. In the stratified analysis of the severely disabled, the IADL outcome of the Home‐based MC group was better than the home‐based PC group (p < 0.001). Study findings shed light on the benefits of promoting the use of integrated HCBS that combines personal and medical care, especially for community care services.

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“…In the rapidly ageing society of Japan, a publicly provided long‐term care insurance (LTCI) system for the frail and elderly adults was initiated in April 2000. This general long‐term care service system for the entire society covers nutrition, medical care and welfare . Under this system, elders with dysfunctions who encounter difficulties living at home are eligible for LTCI and can receive institutional care provided by LTCI facilities .…”

Section: Introductionmentioning

confidence: 99%

Income from nutrition and oral health management among long‐term care insurance facilities in Niigata Prefecture, Japan

et al. 2018

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Objective To determine recent insurance claim rates for, facility income from, and the roles of professionals associated with management of nutrition, oral ingestion and oral health maintenance in long‐term care insurance facilities (LTCIFs) in Niigata Prefecture. Methods A questionnaire on current staffing, oral health professional (OHP) utilisation, and claims for insured benefits for the investigated services was mailed to all LTCIFs in Niigata Prefecture, Japan (n = 304). Claim rates for and average facility income from these benefits were calculated. Facility income was compared between facilities with and without employed OHPs. Statistically significant factors associated with claims for investigated benefits were identified by logistic regression. Results Responses from 111 facilities indicated that they made insurance claims for nutrition management (95%), transition from tube feeding to oral ingestion (9%), basic maintenance of oral ingestion (39%), additional services for maintenance of oral ingestion (23%), oral health management system (68%), and oral health management (17%). Most facilities established collaborations with private dental clinics, but only 16% of facilities employed OHPs. Facility income was significantly higher (P = 0.005) for facilities that employed OHPs. OHP employment by facilities was associated with claims for four of the six benefits (P < 0.05). Conclusions Most facilities consulted with private dental clinics, and 16% of the facilities employed dentists or dental hygienists to help residents manage oral ingestion problems and oral health maintenance. The facility income associated with management of these problems was significantly higher in facilities employing dental professionals.

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

Cited by 15 publications

References 17 publications

The Level of Care Needs of Patients With Cancer and the Time-dependent Burden on Their Family Caregivers in Home Palliative Care: A Cross-Sectional Study

The Level of Care Needs of Patients With Cancer and the Time-dependent Burden on Their Family Caregivers in Home Palliative Care: A Cross-Sectional Study

Effect of different patterns of home‐ and community‐based services in Taiwan on the changes in physical function

Income from nutrition and oral health management among long‐term care insurance facilities in Niigata Prefecture, Japan

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