A5009004314- Geriatric Care and Nursing Homes
- Intergenerational Family Dynamics and Caregiving
- Chronic Disease Management Strategies
- Palliative Care and End-of-Life Issues
- Global Health Care Issues
- Frailty in Older Adults
- Migration, Aging, and Tourism Studies
- Dementia and Cognitive Impairment Research
- Emergency and Acute Care Studies
- COVID-19 and healthcare impacts
- Dysphagia Assessment and Management
- Healthcare Policy and Management
- COVID-19 and Mental Health
- Health disparities and outcomes
- Patient Satisfaction in Healthcare
- Health and Wellbeing Research
- Long-Term Effects of COVID-19
- Family and Disability Support Research
- Problem Solving Skills Development
- Grief, Bereavement, and Mental Health
- Elder Abuse and Neglect
- Patient-Provider Communication in Healthcare
- Urban Green Space and Health
- Retirement, Disability, and Employment
- Magnetic Field Sensors Techniques
National Center for Geriatrics and Gerontology
2022-2025
University of Tsukuba
2017-2024
Jilin University
2024
Japan College of Social Work
2023
Health Services Research & Development
2019-2022
Creative Commons
2022
Weatherford College
2022
Kyungbok University
2018
The outbreak of the novel coronavirus (COVID-19) significantly impacted individuals' daily lives and may provide meaningful implications for well-being. This study examined how well-being changed before during COVID-19 pandemic explored potential risk protective factors A total 15,574 Japanese adults aged 15 to 89 years participated in baseline online surveys February 2019 or 2020 (n = 10,293 sample n 5,281 sample). Both samples were followed up 2021 2022. Well-being was indexed as a...
The occurrence of multimorbidity (i.e., the coexistence multiple chronic diseases) increases with age in older adults and is a growing concern worldwide. Multimorbidity has been reported to be driving factor increase medical expenditures OECD countries. However, best our knowledge, there no published research that examined associations between either long-term care (LTC) expenditure or sum LTC We, therefore, aimed examine for Japan. Medical insurance claims data ≥75 years were merged from...
During the COVID-19 pandemic, social interactions were restricted, including community services for disabled older adults. This study aimed to describe change of use in related long-term care insurance (LTCI) during pandemic Japan. A retrospective descriptive was conducted using data collected via a cloud-based management support platform adult provider “Kaipoke”, by private-sector company “SMS Co., Ltd.”, which care-managers LTCI manage their office work. Data collection occurred from July...
To determine the resident and facility characteristics associated with residents' care-need level deterioration in long-term care welfare facilities Japan.A nationally representative sample of 358 886 residents who lived 3774 for at least 1 year from October 2012 was obtained insurance claims data. Facility were linked a survey institutions establishments 2012. We used multilevel logistic regression according to inclusion exclusion lost follow-up define deteriorations (lost follow-up:...
Japan, with the oldest population in world, faces a financial challenge caused by rising long-term care (LTC) expenditure. For policymakers to address this, it is important that we have better understanding of how individual and regional characteristics affect LTC expenditure.We linked national insurance (LTCI) claim data, covering entire who used LTCI services municipality data on an level. Individuals 65 years older (n=3 876 068) had benefits at least once fiscal year (FY) 2016 were...
To support informal caregivers, a simple assessment tool capturing the multidimensional nature of caregiving experiences, including negative and positive aspects, is required. We developed short form Japanese version Caregiver Reaction Assessment (CRA-J), scale for caregiver experiences.
An LIBS rare earth magnet online measuring instrument was used to classify and test NdFeB crude samples produced in the Baotou Rare Earth Research Institute workshop. The classification accuracy increased from 87.14% 99.05%.
Little is known about hip fracture expenditure in Japan. Using claims data obtained from a core city near Tokyo, we estimated the mean healthcare and monthly long-term care post-hip to be ¥2,600,000 (US$29,500) ¥113,000 (US$1290), respectively.We aimed estimate expenditures Japan.Healthcare insurance for adults aged ≥ 75 years were merged with data. We analyzed of patients who admitted non-diagnosis procedure combination/per-diem payment system (DPC/PDPS) hospitals Tokyo between April 2012...
Antipsychotics are used to manage the behavioral and psychological symptoms of dementia (BPSD), despite their association with greater risks for mortality cerebrovascular events. Previous studies in Japan have estimated prevalence antipsychotics among older adults who took antidementia drugs. Using long-term care (LTC) data, we aimed obtain more accurate estimates determine factors related use dementia.Medical LTC claims data certification between April 2012 September 2013 were obtained from...
Due to the increasing number of coronavirus disease 2019 (COVID-19) cases in Japan, hospitals are unable provide admission and immediate inpatient care. The after-hours house call (AHHC) service offers telephone consultations in-home care patients awaiting admission. Currently, there is no report on management COVID-19 when beds insufficient.We aimed describe clinical characteristics outcomes treated by an AHHC medical Osaka Tokyo, between April May 2021 (during fourth wave Japan). Patients...
Abstract Background Japan has promoted end-of-life care at home and in long-term facilities, the total proportion of in-hospital deaths decreased recently. However, difference trends by cause death remains unclear. We investigated variation among older adults with from 2007 to 2017, place care. Methods Using national insurance registry, claims data, records, we identified people aged 65 years or who died between 2017 used services month before death. a joinpoint regression model, evaluated...
BACKGROUND
This study aims to investigate the factors of care-level deterioration in older adults with mild and moderate disabilities using nationally standardized survey data for care-needs certification. We enrolled people aged 68 years or older, certified as support levels 1–2 (mild disability) care (moderate no cancer. The outcome was after two years. possible were physical mental functions which categorized following five dimensions according certification: body function, daily life instrumental...
Health inequalities are widening in Japan, and thus, it is important to understand whether (and what extent) there a regional variation long-term care (LTC) spending across municipalities. This study assesses LTC identifies the drivers of such variation. We conducted cross-sectional using publicly available municipality-level data Japan 2019, which unit analysis was municipality. The outcome interest per-capita spending, estimated by dividing total municipality number older adults (people...
Access to healthcare has been strongly affected by the coronavirus disease 2019 (COVID-19) pandemic, which raised concerns about increased risk of delays in receiving medical care. This study aimed assess patients' impressions after-hour house-call (AHHC) services during COVID-19 pandemic using a patient questionnaire.This was cross-sectional observational anonymized record data and internet-based questionnaires from patients who used AHHC April 2020 January 2021. We summarized stratified...
Abstract Background Prehospital telephone triage stratifies patients into five categories, “need immediate hospital visit by ambulance,” to a within 1 hour,” 6 hours,” 24 and “do not need visit” in Japan. However, studies on whether present past histories cause undertriage are limited triaged as an early visit. We investigated factors associated with comparing patient assessed be appropriately those undertriaged. Methods included all classified h who used single after-hours house call (AHHC)...
Coronavirus infections occurred in repeated waves caused by different variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with the number patients increasing during each wave. A private after-hours house-call (AHHC) service provides hospital-at-home (HaH) services to Japan requiring oxygen when hospital beds are short supply. This retrospective study aimed compare characteristics COVID-19 treated AHHC Alpha (March−June 2021) and Delta (July−December SARS-CoV-2 variants....
Objectives: Nursing home terminations have increased worldwide due to rising costs, staffing shortages, and the coronavirus disease pandemic. However, little is known about impact that business operating systems on nursing termination. Methods: This study used National Long-term Care database, which comprised 7,842 homes in January 2018. termination was identified when discontinued provision of long-term care services all residents between 2018 December 2020. Business were reimbursed by LTC...
Despite the significant utilization of long-term care (LTC) services at end life, evidence on trajectory LTC expenditure in later life is scarce. This study aims to identify distinct trajectories last 5 years and examine whether these differ according cause death.A nationwide retrospective longitudinal cohort based linked data National Claims Japan's Vital Statistic.Participants comprised decedents aged 70 or older who died 2017.We assessed monthly among participants applied group-based...