Comparison of care utilisation and medical institutional death among older adults by home care facility type: a retrospective cohort study in Fukuoka, Japan.

ABSTRACT:

Objectives

We compared the care services use and medical institutional deaths among older adults across four home care facility types.

Design

This was a retrospective cohort study.

Setting

We used administrative claims data from April 2014 to March 2017.

Participants

We included 18 347 residents of Fukuoka Prefecture, Japan, who received home care during the period, and aged ≥75 years with certified care needs of at least level 3. Participants were categorised based on home care facility use (ie, general clinics, Home Care Support Clinics/Hospitals (HCSCs), enhanced HCSCs with beds and enhanced HCSCs without beds).

Primary and secondary outcome measures

We used generalised linear models (GLMs) to estimate care utilisation and the incidence of medical ins

SUBMITTER: Kim SA 

PROVIDER: S-EPMC8054107 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature