Findings from University of Tsukuba Provides New Data on Healthcare Management (Impact of a Japanese Incentivization Program to Increase End-of-Life Care Outside of Hospitals)

2020 NOV 23 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- A new study on Health and Medicine - Healthcare Management is now available. According to news originating from Ibaraki, Japan, by NewsRx correspondents, research stated, “To analyze the association of an incentivization program to promote death outside of hospitals with changes in place of death. A longitudinal observational study using national databases.”

Financial support for this research came from Japan Agency for Medical Research and Development.

Our news journalists obtained a quote from the research from the University of Tsukuba, “Participants comprised Japanese decedents (65 years) who had used long-term care insurance services and died between April 2007 and March 2014. Using a database of Japanese long-term care insurance service claims, subjects were divided into community-dwelling and residential aged care (RAC) facility groups. Based on national death records, change in place of death after the Japanese government initiated incentivization program was observed using logistic regression. Hospital deaths decreased by 8.7% over time, mainly due to an increase in RAC facility deaths. The incentivization program was more associated with decreased in-hospital deaths for older adults in RAC facilities than community-dwelling older adults. In Japan, the proportion of in-hospital deaths of frail older adults decreased since the health services system introduced the incentivization program for end-of-life care outside of hospitals.”

According to the news editors, the research concluded: “The shift of place of death from hospitals to different locations was more prominent among residents of RAC facilities, where informal care from laymen was required less, than among community residents.”

This research has been peer-reviewed.

For more information on this research see: Impact of a Japanese Incentivization Program to Increase End-of-Life Care Outside of Hospitals. Journal of the American Medical Directors Association, 2020. (Elsevier - www.elsevier.com; Journal of the American Medical Directors Association - http://www.journals.elsevier.com/journal-of-the-american-medical-directors-association/)

The news correspondents report that additional information may be obtained from Mikiya Sato, Health Services Research and Development Center, University of Tsukuba, Ibaraki, Japan. Additional authors for this research include Nanako Tamiya, Xueying Jin, Taeko Watanabe, Hideto Takahashi and Haruko Noguchi.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.jamda.2020.09.021. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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