Evidence map›Paper›PMID 36737771›Full record

ArticleBMC health services research2023

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.

Yu Sun, Masao Iwagami, Nobuo Sakata, Tomoko Ito, Ryota Inokuchi, Jun Komiyama, Naoaki Kuroda, Nanako Tamiya

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Evolution and challenges of physician-led home visits in Japan.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yu SunGraduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan.
Masao IwagamiHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan. iwagami-tky@umin.ac.jp.
Nobuo SakataHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan.
Tomoko ItoHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan.
Ryota InokuchiHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan.
Jun KomiyamaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan.
Naoaki KurodaHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan.
Nanako TamiyaHealth Services Research and Development Center, University of Tsukuba, Ibaraki, Japan.

Funding

Ministry of Health, Labor and Welfare; Health, Labor and Welfare Sciences Research Grant, Japan; and Research on Region Medical 21IA1010
6 · The paper itself

Abstract

backgroundTo meet the increasing demand for home healthcare in Japan as the population ages, home care support clinics/hospitals (HCSCs) and enhanced HCSCs were introduced in 2006 and 2012, respectively. This study aimed to evaluate whether enhanced HCSCs fulfilled the expected role in home healthcare.

methodsWe conducted a retrospective cohort study using linked medical and long-term care claims data from a municipality in Japan. Participants were ≥ 65 years of age, had newly started regular home visits between July 2014 and March 2018, and used either conventional or enhanced HCSCs. Patients were followed up for one year after they started regular home visits or until the month following the end of the regular home visits if they ended within one year. The outcome measures were (i) emergency home visits at all hours and on nights and holidays at least once, respectively, (ii) hospitalization at least once, and (iii) end-of-life care, which was evaluated based on the place of death and whether a physician was present at the time of in-home death. Multivariable logistic regression analyses were conducted for the outcomes of emergency home visits and hospitalizations.

resultsThe analysis included 802 patients, including 405 patients in enhanced HCSCs and 397 patients in conventional HCSCs. Enhanced HCSCs had more emergency home visits at all hours than conventional HCSCs (65.7% vs. 49.1%; adjusted odds ratio 1.70, 95% CI [1.26-2.28]), more emergency home visits on nights and holidays (33.6% vs. 16.7%; 2.20 [1.55-3.13]), and fewer hospitalizations (21.5% vs. 32.2%; 0.55 [0.39-0.76]). During the follow-up period, 229 patients (152 patients in enhanced HCSCs and 77 patients in HCSCs) died. Deaths at home were significantly more common in enhanced HCSCs than in conventional HCSCs (80.9% vs. 64.9%; p < .001), and physician-attended deaths among those who died at home were also significantly more common in enhanced HCSCs (99.2% vs. 78.0%; p < .001).

conclusionsThis study confirms that enhanced HCSCs are more likely to be able to handle emergency home visits and end-of-life care at home, which are important medical functions in home healthcare. Further promotion of enhanced HCSCs would be advantageous.

Indexed as

Home Care ServicesHouse CallsTerminal CareHospitalizationHumansJapanRetrospective StudiesEmergency home visitsHome healthcare servicesTerminal care

Identifiers

PMID36737771
PMCPMC9898920

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.