Evidence map›Paper›PMID 39522173›Full record

ArticleGeriatrics & gerontology international2024

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.

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

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Article in Geriatrics & gerontology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

Yu SunDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID https://orcid.org/0000-0002-3784-4333
Nobuo SakataDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Masao IwagamiDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Satoru YoshieHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
Ryota InokuchiDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID https://orcid.org/0000-0001-6343-2298
Tomoko ItoHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
Naoaki KurodaHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.ORCID https://orcid.org/0000-0003-0407-0228
Jun HamanoDepartment of Primary Care and Medical Education, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID https://orcid.org/0000-0003-0304-9881
Nanako TamiyaDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.

Funding

Institute for Health Economics and Policy
6 · The paper itself

Abstract

aimAs aging populations shift health care from hospitals to communities, Japan has implemented policies to promote home health care. This study explored regional differences in home health care recipients among older adults and related factors.

methodsWe used nationwide data from 2020 to describe the proportion of older adults receiving regular home visits and the medical institutions utilized across secondary medical areas: urban, middle and depopulated areas. We examined factors associated with the proportion of patients receiving regular home visits. Exposures included each secondary medical area's medical and long-term-care (LTC) resources, adjusted for the older adult population; proportion of single-person households; and regional factors. We performed a multivariate negative binomial distribution analysis.

resultsA total of 333 secondary medical areas were included. Urban areas had more patients receiving regular home visits, primarily from enhanced home care support clinics/hospitals (HCSCs). Fewer patients received regular home visits in depopulated areas, and conventional HCSCs were more common. Multivariate analysis revealed that the number of conventional HCSCs (coefficient, 0.17 [95% confidence intervals (CI), 0.08 to 0.26]), enhanced HCSCs (coefficient, 0.21 [95% CI, 0.14 to 0.29]) and population density (coefficient, 0.10 [95% CI, 0.02 to 0.19]) were positively associated with higher home-visit rates. Beds in LTC welfare facilities (coefficient, -0.10 [95% CI, -0.19 to -0.01]) and beds in LTC health facilities (coefficient, -0.09 [95% CI, -0.17 to 0.00]) were negatively associated.

conclusionsPolicies to promote home health care have led to high home-visit rates in urban areas. Medical and LTC resources and regional factors influence disparities. As Japan's population ages, it is crucial to recognize these disparities and develop medical and LTC systems tailored to each region's characteristics. Geriatr Gerontol Int 2024; 24: 1350-1361.

Indexed as

Home Care ServicesAgedAged, 80 and overFemaleHealthcare DisparitiesHumansJapanMalePatient Acceptance of Health Carehome health care serviceshome visitlong‐term‐care servicesolder peopleregional disparity

Identifiers

PMID39522173
PMCPMC11628894

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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.