TY - JOUR
T1 - Home Visiting Nurse Service Duration and Factors Related to Institution Admission
AU - Naruse, Takashi
AU - Fujisaki-Sakai, Mahiro
AU - Nagata, Satoko
PY - 2017/2/1
Y1 - 2017/2/1
N2 - 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.
AB - 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.
KW - claim data analysis
KW - hospitalization
KW - institutionalization
KW - long-term care
KW - nursing
KW - risk-adjusted evaluation
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U2 - 10.1177/1084822316672246
DO - 10.1177/1084822316672246
M3 - Article
AN - SCOPUS:85008601901
VL - 29
SP - 46
EP - 52
JO - Home Health Care Management and Practice
JF - Home Health Care Management and Practice
SN - 1084-8223
IS - 1
ER -