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Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey

BACKGROUND: Japan has the highest rate of aging. To contain Long-Term Care (LTC) Insurance costs, the Japanese government is attempting to increase the proportion of individuals receiving home care services. However, demand for institutional care is increasing. These circumstances will decrease the...

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Autores principales: Sugimoto, Kentaro, Kashiwagi, Masayo, Tamiya, Nanako
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433164/
https://www.ncbi.nlm.nih.gov/pubmed/28506270
http://dx.doi.org/10.1186/s12913-017-2293-1
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author Sugimoto, Kentaro
Kashiwagi, Masayo
Tamiya, Nanako
author_facet Sugimoto, Kentaro
Kashiwagi, Masayo
Tamiya, Nanako
author_sort Sugimoto, Kentaro
collection PubMed
description BACKGROUND: Japan has the highest rate of aging. To contain Long-Term Care (LTC) Insurance costs, the Japanese government is attempting to increase the proportion of individuals receiving home care services. However, demand for institutional care is increasing. These circumstances will decrease the sustainability of the LTC Insurance System. The objective of the present study was to identify predictors of the location of preference for LTC (home or a facility) in middle-aged individuals in a municipality. METHODS: This was a cross-sectional study of middle-aged individuals (n = 906) in Tsukuba, Japan. Data primarily included individual or social factors (sex, age, household size, experience with caring for family, information sources about social services or municipality policy), factors about care prevention (self-reported health, efforts to promote health, motivation in life), and the preferred location of care. These variables were analysed with multiple logistic regression, using preferred location of care as the dependent variable. RESULTS: A total of 693 respondents were analysed. Of these, 440 (63.5%) preferred home and 253 (36.5%) preferred a facility. The results of logistic regression analysis showed that a preference for facility was significantly associated with female sex, younger age, experience with caring for family, fewer information sources about social services or municipality policies, selecting ‘go to culture lessons/study to satisfy interests’, and not selecting ‘spending time happily with family’ under motivation in life. CONCLUSIONS: To support the selection of receiving home care services, municipalities must consider improving policies that reduce the burdens of present middle-aged caregivers, and promote the provision of care service information from multiple sources.
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spelling pubmed-54331642017-05-17 Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey Sugimoto, Kentaro Kashiwagi, Masayo Tamiya, Nanako BMC Health Serv Res Research Article BACKGROUND: Japan has the highest rate of aging. To contain Long-Term Care (LTC) Insurance costs, the Japanese government is attempting to increase the proportion of individuals receiving home care services. However, demand for institutional care is increasing. These circumstances will decrease the sustainability of the LTC Insurance System. The objective of the present study was to identify predictors of the location of preference for LTC (home or a facility) in middle-aged individuals in a municipality. METHODS: This was a cross-sectional study of middle-aged individuals (n = 906) in Tsukuba, Japan. Data primarily included individual or social factors (sex, age, household size, experience with caring for family, information sources about social services or municipality policy), factors about care prevention (self-reported health, efforts to promote health, motivation in life), and the preferred location of care. These variables were analysed with multiple logistic regression, using preferred location of care as the dependent variable. RESULTS: A total of 693 respondents were analysed. Of these, 440 (63.5%) preferred home and 253 (36.5%) preferred a facility. The results of logistic regression analysis showed that a preference for facility was significantly associated with female sex, younger age, experience with caring for family, fewer information sources about social services or municipality policies, selecting ‘go to culture lessons/study to satisfy interests’, and not selecting ‘spending time happily with family’ under motivation in life. CONCLUSIONS: To support the selection of receiving home care services, municipalities must consider improving policies that reduce the burdens of present middle-aged caregivers, and promote the provision of care service information from multiple sources. BioMed Central 2017-05-15 /pmc/articles/PMC5433164/ /pubmed/28506270 http://dx.doi.org/10.1186/s12913-017-2293-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Sugimoto, Kentaro
Kashiwagi, Masayo
Tamiya, Nanako
Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey
title Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey
title_full Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey
title_fullStr Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey
title_full_unstemmed Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey
title_short Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey
title_sort predictors of preferred location of care in middle-aged individuals of a municipality in japan: a cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433164/
https://www.ncbi.nlm.nih.gov/pubmed/28506270
http://dx.doi.org/10.1186/s12913-017-2293-1
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