ArticlePloS one2018
Association between local-level resources for home care and home deaths: A nationwide spatial analysis in Japan.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- What gets measured in palliative care? A review and synthesis of routine data collection in 16 countries.Health policy OPEN · 2025Review
- Regional disparities in home health care utilization for older adults and their associated factors at the secondary medical area level: A Nationwide study in Japan.Geriatrics & gerontology international · 2024Article
- Article
- Change in the Proportion of Death at Home during the COVID-19 Pandemic and Its Associated Factors in the Municipality Level: A Nationwide Study in Japan.JMA journal · 2024Article
- The Correlation Between the Attended Deaths at Home and Medical Resources in Osaka City.Cureus · 2023Article
- Evaluation of enhanced home care support clinics regarding emergency home visits, hospitalization, and end-of-life care: a retrospective cohort study in a city of Japan.BMC health services research · 2023Article
- Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study.BMC geriatrics · 2022Article
- Municipal Characteristics of In-Home Death Among Care-Dependent Older Japanese Adults.JAMA network open · 2022Article
- Place of Death and Density of Homecare Resources: A Nationwide Study in Japan.Annals of geriatric medicine and research · 2021Article
- Place of death among older people in Finland and Norway.Scandinavian journal of public health · 2020Article
- Place of death associated with types of long-term care services near the end-of-life for home-dwelling older people in Japan: a pooled cross-sectional study.BMC palliative care · 2020Article
- Relationship of place of death with care capacity and accessibility: a multilevel population study of system effects on place of death in Norway.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimLittle is known about whether and how local-level resources regarding home care are associated with the prevalence of home deaths. We aimed to investigate whether geographic patterns of the resources for home care were associated with the prevalence of home deaths, taking spatial variation into consideration.
methodsWe conducted an ecological cross-sectional study in Japan using nationwide data in 2014. The areal unit was the municipality, the smallest administrative unit in Japan. We investigated the association between the percentage of home deaths and the resources of home care support clinics with available 24-hour-a-day functions, considering the geographic effect of neighboring municipalities by applying a geographically weighted regression model.
resultsThe mean and standard deviation of the percentages of home deaths were 11.4% (5.0%), and those of the number of home care support clinics per 10,000 elderly population were 3.4 (3.7). The percentages of home deaths in neighboring municipalities tended to be significantly correlated (Moran's I 0.34, p<0.001). Adjusting for the number of hospital beds, total population, and the socio-economic status of municipality, the results of an ordinary least squares regression model showed a positive correlation between the percentage of home deaths and the local resources for home care support clinics per 10,000 elderly population (regression coefficient 0.15, 95% confidence interval 0.07, 0.22), while the existence of spatial autocorrelation of the residual was suggested (Moran's I of the residual 0.227, p<0.001). The geographically weighted regression model showed local regression coefficients varying across municipalities with a better model fit over the analogous ordinary least squares model (adjusted R2 0.414 vs. 0.131).
conclusionHome deaths were more prevalent in municipalities with greater home care resources. This association was geographically varied and further strengthened in some areas.
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