Improvement in Activities of Daily Living Among Older Adults With Physician-Led Home Visits: A Multicenter Retrospective Cohort Study in Japan.

ABSTRACT:

Background

Japan is promoting physician-led home visits. Among patients receiving home care, activities of daily living (ADLs) affect both caregiver burden and patients' quality of life. This study aimed to determine the incidence of ADL improvement in physician-led home care and to identify associated factors.

Methods

This retrospective cohort study included patients aged 65 years or older with a Barthel Index (BI) score of 90 or less who began receiving physician-led home visits between February 1, 2013, and January 31, 2016. The primary outcome was defined as a ≥ 10-point improvement in the BI score from baseline. Changes in BI following the initiation of home visits were analyzed using the cumulative incidence function, with death treated as a competing risk. Cause-speci

SUBMITTER: Hinata Y 

PROVIDER: S-EPMC12897562 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature