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

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 o...

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Autores principales: Naruse, Takashi, Matsumoto, Hiroshige, Fujisaki-Sakai, Mahiro, Nagata, Satoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450122/
https://www.ncbi.nlm.nih.gov/pubmed/28558677
http://dx.doi.org/10.1186/s12913-017-2322-0
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author Naruse, Takashi
Matsumoto, Hiroshige
Fujisaki-Sakai, Mahiro
Nagata, Satoko
author_facet Naruse, Takashi
Matsumoto, Hiroshige
Fujisaki-Sakai, Mahiro
Nagata, Satoko
author_sort Naruse, Takashi
collection PubMed
description 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.
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spelling pubmed-54501222017-06-01 Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data Naruse, Takashi Matsumoto, Hiroshige Fujisaki-Sakai, Mahiro Nagata, Satoko BMC Health Serv Res Research Article 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. BioMed Central 2017-05-30 /pmc/articles/PMC5450122/ /pubmed/28558677 http://dx.doi.org/10.1186/s12913-017-2322-0 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
Naruse, Takashi
Matsumoto, Hiroshige
Fujisaki-Sakai, Mahiro
Nagata, Satoko
Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data
title Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data
title_full Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data
title_fullStr Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data
title_full_unstemmed Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data
title_short Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data
title_sort measurement of special access to home visit nursing services among japanese disabled elderly people: using gis and claim data
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450122/
https://www.ncbi.nlm.nih.gov/pubmed/28558677
http://dx.doi.org/10.1186/s12913-017-2322-0
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