ArticleBMC geriatrics2020
Association of household income with home-based rehabilitation and home help service utilization among long-term home care service users.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- Goal Setting According to Level of Mobility Independence in Home-Visit Rehabilitation Using Canadian Occupational Performance Measure.Progress in rehabilitation medicine · 2026Article
- The relationship between spousal empowerment, quality of life, and subjective wellbeing among disabled elderly.Frontiers in psychology · 2025Article
- Association between Care-need Level after Discharge and Long-term Outcomes in 7491 Patients Requiring Rehabilitation for Stroke.JMA journal · 2024Article
- Article
- Rehabilitation services and related health databases, Japan.Bulletin of the World Health Organization · 2022Article
- Article
- The use of Japanese long-term care insurance claims in health services research: current status and perspectives.Global health & medicine · 2021Review
- Impact of Economic Accessibility on Realized Utilization of Home-Based Healthcare Services for the Older Adults in China.Healthcare (Basel, Switzerland) · 2021Article
- Transitional and Long-Term Care System in Japan and Current Challenges for Stroke Patient Rehabilitation.Frontiers in neurology · 2021Review
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo examine the association of household income with home-based rehabilitation and home help services in terms of service utilization and expenditures.
methodsA secondary data analysis of cross-sectional design was conducted using long-term care (LTC) insurance claims data, medical claims data, and three types of administrative data. The subjects comprised LTC insurance beneficiaries in Kashiwa city, Japan, who used long-term home care services in the month following care needs certification. Household income was the independent variable of interest, and beneficiaries were categorized into low-income or middle/high-income groups based on their insurance premiums. Using a two-part model, the odds ratios (ORs) and 95% confidence intervals (CIs) for the utilization of home-based rehabilitation and home help services in the month following care needs certification were estimated using logistic regression analysis, and the risk ratios (RRs) of service expenditures were estimated using a generalized linear model for gamma-distributed data with a log-link function.
resultsAmong 3770 subjects, 681 (18.1%) used home-based rehabilitation and 1163 (30.8%) used home help services. There were 1419 (37.6%) low-income subjects, who were significantly less likely to use (OR: 0.813; 95%CI: 0.670-0.987) and spend on (RR: 0.910; 95%CI: 0.829-0.999) home-based rehabilitation services than middle/high-income subjects. Conversely, low-income subjects were significantly more likely to use (OR: 1.432; 95%CI: 1.232-1.664) but less likely to spend on (RR: 0.888; 95%CI: 0.799-0.986) home help services than middle/high-income subjects.
conclusionHousehold income was associated with the utilization of long-term home care services. To improve access to these services, the LTC insurance system should examine ways to decrease the financial burden of low-income beneficiaries and encourage service utilization.
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