TY - JOUR
T1 - Health care and personal care needs among residents in nursing homes, group homes, and congregate housing in japan
T2 - Why does transition occur, and where can the frail elderly establish a permanent residence?
AU - Nakanishi, Miharu
AU - Hattori, Keiko
AU - Nakashima, Taeko
AU - Sawamura, Kanae
N1 - Funding Information:
This study was part of a research project by the Institute for Health Economics and Policy that was funded by a grant from the Health and Welfare Bureau for the Elderly and the Ministry of Health, Labor, and Welfare in Japan. The sponsor had no involvement in the study design, methodology, recruitment of the subjects, data collection, data analysis, interpretation of the results, or preparation of the manuscript.
PY - 2014/1
Y1 - 2014/1
N2 - Objectives: Japan has had high rates of transition to nursing homes from other long term care facilities. It has been hypothesized that care transitions occur because a resident's condition deteriorates. The aim of the present study was to compare the health care and personal care needs of residents in nursing homes, group homes, and congregate housing in Japan. Design: The present study was conducted using a cross-sectional study design. Setting/Subjects: The present study included 70,519 elderly individuals from 5 types of residential facilities: care medical facilities (heavy medical care; n=17,358), geriatric intermediate care facilities (rehabilitation aimed toward a discharge to home; n=26,136), special nursing homes (permanent residence; n=20,564), group homes (group living, n=1454), and fee-based homes for the elderly (congregate housing; n=5007). Measurements: The managing director at each facility provided information on the residents' health care and personal care needs, including activities of daily living (ADLs), level of required care, level of cognitive impairment, current disease treatment, and medical procedures. Results: A multinomial logistic regression analysis demonstrated a significantly lower rate of medical procedures among the residents in special nursing homes compared with those in care medical facilities, geriatric intermediate care facilities, group homes, and fee-based homes for the elderly. The residents of special nursing homes also indicated a significantly lower level of required care than those in care medical facilities. Conclusion: The results of our study suggest that care transitions occur because of unavailable permanent residence option for people who suffer with medical deterioration. The national government should modify residential facilities by reorganizing several types of residential facilities into nursing homes that provide a place of permanent residence.
AB - Objectives: Japan has had high rates of transition to nursing homes from other long term care facilities. It has been hypothesized that care transitions occur because a resident's condition deteriorates. The aim of the present study was to compare the health care and personal care needs of residents in nursing homes, group homes, and congregate housing in Japan. Design: The present study was conducted using a cross-sectional study design. Setting/Subjects: The present study included 70,519 elderly individuals from 5 types of residential facilities: care medical facilities (heavy medical care; n=17,358), geriatric intermediate care facilities (rehabilitation aimed toward a discharge to home; n=26,136), special nursing homes (permanent residence; n=20,564), group homes (group living, n=1454), and fee-based homes for the elderly (congregate housing; n=5007). Measurements: The managing director at each facility provided information on the residents' health care and personal care needs, including activities of daily living (ADLs), level of required care, level of cognitive impairment, current disease treatment, and medical procedures. Results: A multinomial logistic regression analysis demonstrated a significantly lower rate of medical procedures among the residents in special nursing homes compared with those in care medical facilities, geriatric intermediate care facilities, group homes, and fee-based homes for the elderly. The residents of special nursing homes also indicated a significantly lower level of required care than those in care medical facilities. Conclusion: The results of our study suggest that care transitions occur because of unavailable permanent residence option for people who suffer with medical deterioration. The national government should modify residential facilities by reorganizing several types of residential facilities into nursing homes that provide a place of permanent residence.
KW - Frail elderly
KW - Group homes
KW - Intermediate care facilities
KW - Japan
KW - Skilled nursing facilities
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U2 - 10.1016/j.jamda.2013.07.006
DO - 10.1016/j.jamda.2013.07.006
M3 - Article
C2 - 23981788
AN - SCOPUS:84890803663
SN - 1525-8610
VL - 15
SP - 76.e1-76.e6
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 1
ER -
