The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan
This study aimed at examining the effect of continued use of home health care resources on end-of-life care at home in older patients with cancer. This retrospective cohort study was conducted using medical and long-term care claims data of 6435 older patients with cancer who died between April 2016...
Published in: | POPULATION HEALTH MANAGEMENT |
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Main Authors: | , , , , , , , , |
Format: | Article; Early Access |
Language: | English |
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MARY ANN LIEBERT, INC
2023
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Online Access: | https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001138528400001 |
author |
Yamao Reiko; Babazono Akira; Liu Ning; Li Yunfei; Ishihara Reiko; Yoshida Shinichiro; Kim Sung-A; Jamal Aziz |
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Yamao Reiko; Babazono Akira; Liu Ning; Li Yunfei; Ishihara Reiko; Yoshida Shinichiro; Kim Sung-A; Jamal Aziz The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan Health Care Sciences & Services |
author_facet |
Yamao Reiko; Babazono Akira; Liu Ning; Li Yunfei; Ishihara Reiko; Yoshida Shinichiro; Kim Sung-A; Jamal Aziz |
author_sort |
Yamao |
spelling |
Yamao, Reiko; Babazono, Akira; Liu, Ning; Li, Yunfei; Ishihara, Reiko; Yoshida, Shinichiro; Kim, Sung-A; Jamal, Aziz The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan POPULATION HEALTH MANAGEMENT English Article; Early Access This study aimed at examining the effect of continued use of home health care resources on end-of-life care at home in older patients with cancer. This retrospective cohort study was conducted using medical and long-term care claims data of 6435 older patients with cancer who died between April 2016 and March 2019 in Fukuoka Prefecture. The main explanatory variables were enhanced home care support clinics and hospitals (HCSCs), enhanced HCSCs with beds, conventional HCSCs, other HCSCs, and home visit nursing care. The covariates were sex, age, required level of care, and the Charlson Comorbidity Index. A logistic regression model was used. The results of the multilevel logistic regression analysis showed that the following were significantly associated with end-of-life care at home: use of enhanced HCSCs with beds (odds ratio, OR: 8.66; 95% confidence interval, CI: [4.31-17.40]), conventional HCSCs (OR: 5.78; 95% CI: [1.86-17.94]), enhanced HCSCs (OR: 4.44; 95% CI: [1.47-13.42]), home-visit nursing care (OR: 1.86; 95% CI: [1.42-2.44]), and a severe need for care (OR: 3.89; 95% CI: [2.92-5.18]). The results suggest that the continued use of home health care resources in older patients with cancer who require out-of-hospital care may lead to increased end-of-life care at home. Particularly, use of enhanced HCSCs with beds is most strongly associated with end-of-life care at home. MARY ANN LIEBERT, INC 1942-7891 1942-7905 2023 10.1089/pop.2023.0192 Health Care Sciences & Services WOS:001138528400001 https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001138528400001 |
title |
The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan |
title_short |
The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan |
title_full |
The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan |
title_fullStr |
The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan |
title_full_unstemmed |
The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan |
title_sort |
The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan |
container_title |
POPULATION HEALTH MANAGEMENT |
language |
English |
format |
Article; Early Access |
description |
This study aimed at examining the effect of continued use of home health care resources on end-of-life care at home in older patients with cancer. This retrospective cohort study was conducted using medical and long-term care claims data of 6435 older patients with cancer who died between April 2016 and March 2019 in Fukuoka Prefecture. The main explanatory variables were enhanced home care support clinics and hospitals (HCSCs), enhanced HCSCs with beds, conventional HCSCs, other HCSCs, and home visit nursing care. The covariates were sex, age, required level of care, and the Charlson Comorbidity Index. A logistic regression model was used. The results of the multilevel logistic regression analysis showed that the following were significantly associated with end-of-life care at home: use of enhanced HCSCs with beds (odds ratio, OR: 8.66; 95% confidence interval, CI: [4.31-17.40]), conventional HCSCs (OR: 5.78; 95% CI: [1.86-17.94]), enhanced HCSCs (OR: 4.44; 95% CI: [1.47-13.42]), home-visit nursing care (OR: 1.86; 95% CI: [1.42-2.44]), and a severe need for care (OR: 3.89; 95% CI: [2.92-5.18]). The results suggest that the continued use of home health care resources in older patients with cancer who require out-of-hospital care may lead to increased end-of-life care at home. Particularly, use of enhanced HCSCs with beds is most strongly associated with end-of-life care at home. |
publisher |
MARY ANN LIEBERT, INC |
issn |
1942-7891 1942-7905 |
publishDate |
2023 |
container_volume |
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container_issue |
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doi_str_mv |
10.1089/pop.2023.0192 |
topic |
Health Care Sciences & Services |
topic_facet |
Health Care Sciences & Services |
accesstype |
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id |
WOS:001138528400001 |
url |
https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001138528400001 |
record_format |
wos |
collection |
Web of Science (WoS) |
_version_ |
1809678579090325504 |