日本长期护理保险服务之间生命最后一年的护理过渡:长期护理保险理赔数据分析。

IF 2.4 4区 医学 Q3 GERIATRICS & GERONTOLOGY
Masayo Kashiwagi, Kimikazu Kashiwagi, Noriko Morioka, Kazuhiro Abe
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引用次数: 0

摘要

目的:我们确定了日本需要长期护理(LTC)和接受公共LTC保险(LTCI)服务的老年人死亡前一年的护理转换次数、护理转换途径以及与护理转换次数相关的因素:本研究使用的数据来自日本的 LTCI 索赔数据,该数据存储了全国所需的 LTC 证明信息和 LTCI 索赔数据。死亡前一年接受的服务分为居家服务、设施服务、居家和设施混合服务以及未使用 LTCI 服务。我们提供了过渡计数,并制作了桑基图来直观显示护理过渡路径。我们使用多变量分析来确定与护理过渡次数相关的因素:在参与者中,有 276 896 人(65.2%)在死亡前一年至少经历了一次护理过渡。此外,72.0%需要轻度长期护理的人经历过一次或多次护理转换。年龄在 75-84 岁(与 65-74 岁相比)、男性、无医疗护理需求、有痴呆症症状以及在死亡前一年中长期护理需求发生变化的参与者更有可能需要进行护理转换。此外,基线长期护理需求较高的参试者要求进行护理转换的可能性较低:结论:超过半数需要长期护理的参与者在去世前一年经历了一次或多次护理转换。有必要就加强生命末期的长期护理保险制度下的护理和优化护理转换进行政策审议。Geriatr Gerontol Int 2024; --:-----.
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Last year of life care transitions between long-term care insurance services in Japan: Analysis of long-term care insurance claims data

Last year of life care transitions between long-term care insurance services in Japan: Analysis of long-term care insurance claims data

Aim

We determined the number of care transitions in the year before death among older adults requiring long-term care (LTC) and those receiving public LTC insurance (LTCI) services in Japan, along with care transition pathways and factors associated with the number of care transitions.

Methods

This study used data from the Japanese LTCI claims, which store national information on certification of needed LTC and LTCI claims data. Services received in the year before death were classified as in-home, facility, mixture of in-home and facility, and not using LTCI services. The transition count is presented, and Sankey diagrams are produced to visualize care transition pathways. We used a multivariable analysis to identify factors associated with the number of care transitions.

Results

Of the participants, 276 896 (65.2%) experienced at least one transition in LTCI care settings in the year before death. Further, 72.0% of those requiring mild LTC underwent one or more transitions. Participants who were 75–84 years old (vs. 65–74 years old), male, without medical care needs, with symptoms of dementia, and with changes in LTC needs in the year before death were more likely to require care transitions. Moreover, participants with higher baseline LTC needs were less likely to require transitions.

Conclusion

Over half the participants requiring LTC underwent one or more care transitions in the year before death. Policy deliberations regarding enhancing care under the LTCI system at the end of life and optimizing care transitions are necessary. Geriatr Gerontol Int 2024; 24: 883–890.

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来源期刊
CiteScore
5.50
自引率
6.10%
发文量
189
审稿时长
4-8 weeks
期刊介绍: Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.
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