In-hospital dementia-related deaths following implementation of the national dementia plan: observational study of national death certificates from 1996 to 2016.

ABSTRACT:

Objective

To examine changes in places of dementia-related death following implementation of the national dementia plan and other policy initiatives.

Design

Observational study.

Setting

Japan between October 1996 and September 2016. Four major changes in health and social care systems were identified: (1) the public long-term care insurance programme (April 2000); (2) community centres as a first access point for older residents (April 2006); (3) medical care system for older people (April 2008) and (4) the national dementia plan (April 2013).

Participants

9 60 423 decedents aged 65 years or older whose primary cause of death was Alzheimer's disease, vascular or other types of dementia or senility.

Main outcome measures

Place of death which was classifie

SUBMITTER: Nakanishi M 

PROVIDER: S-EPMC6303640 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature