Home Visiting Nurse Service Duration and Factors Related to Institution Admission

Takashi Naruse, Mahiro Fujisaki-Sakai, Satoko Nagata

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


To empirically measure the quality of home visiting nursing (HVN) agencies in Japan, we longitudinally observed the duration of clients’ HVN use and identified the factors correlated with hospitalization/institutionalization. Medical and long-term care insurance data were analyzed from 1,722 persons with disabilities aged at least 75 years who began using an HVN. At the 12-month follow-up, 67.7% of clients were no longer using the HVN; among these, 48.9% were hospitalized/institutionalized and 23.6% had died. Cox regression analysis showed that risk of hospitalization/institutionalization in HVN agencies depends on client characteristics at service commencement. Measuring the quality of HVN agencies by weighting clients’ characteristics as risk factors for hospitalization and/or institutionalization may be appropriate.

Original languageEnglish
Pages (from-to)46-52
Number of pages7
JournalHome Health Care Management and Practice
Issue number1
Publication statusPublished - 2017 Feb 1


  • claim data analysis
  • hospitalization
  • institutionalization
  • long-term care
  • nursing
  • risk-adjusted evaluation

ASJC Scopus subject areas

  • Leadership and Management
  • Community and Home Care
  • Public Health, Environmental and Occupational Health


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