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

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

研究成果: Article査読

4 被引用数 (Scopus)

抄録

Background: Home care service demands are increasing in Japan; this necessitates improved service allocation. This study examined the relationship between home visit nursing (HVN) service use and the proportion of elderly people living within 10 min' travel of HVN agencies. Methods: The population of elderly people living within reach of HVN agencies for each of 17 municipalities in one low-density prefecture was calculated using public data and geographic information systems. Multilevel logistic analysis for 2641 elderly people was conducted using medical and long-term care insurance claims data from October 2010 to examine the association between the proportion of elderly people reachable by HVNs and service usage in 13 municipalities. Municipality variables included HVN agency allocation appropriateness. Individual variables included HVN usage and demographic variables. Results: The reachable proportion of the elderly population ranged from 0.0 to 90.2% in the examined municipalities. The reachable proportion of the elderly population was significantly positively correlated with HVN use (odds ratio: 1.938; confidence interval: 1.265-2.967). Conclusions: Residents living in municipalities with a lower reachable proportion of the elderly population are less likely to use HVN services. Public health interventions should increase the reachable proportion of the elderly population in order to improve HVN service use.

本文言語English
論文番号377
ジャーナルBMC Health Services Research
17
1
DOI
出版ステータスPublished - 2017 5 30

ASJC Scopus subject areas

  • Health Policy

フィンガープリント 「Measurement of special access to home visit nursing services among Japanese disabled elderly people: Using GIS and claim data」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル