在日本,有护理需求的老年人中,住房适应和长期护理机构的入院
Rumiko Tsuchiya-Ito1, Seigo Mitsutake2, Satomi Kitamura3
1Research Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare, Tokyo, Japan; Research Department, Dia Foundation for Research on Ageing Societies, Tokyo, Japan.
Journal of the American Medical Directors Association
|October 1, 2024
概括
实施住房适应可以帮助有护理需求的老年人适应年龄,可能减少长期护理机构的入院. 最大限度地提高住房适应成本显示,制度化风险显著降低.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在现场老龄化对有护理需求的老年人来说是一个优先事项.
- 住房调整可以通过减少长期护理机构 (LTCF) 的入院来促进现场老龄化.
- 住房改造与LTCF招生之间的关联需要进一步调查.
研究的目的:
- 检查需要照顾的老年人中住房调整和LTCF入院之间的关联.
- 确定住房适应实施的程度是否会影响LTCF入学风险.
主要方法:
- 一个日本市的回顾性队列研究.
- 包括65岁以上的成年人,新获得护理需求认证 (2014-2016).
- 分析了保险覆盖的住房改造 (高达20万日元) 使用细灰分发危险模型,死亡作为竞争风险.
主要成果:
- 4610名参与者中有1261人 (27.3%) 实施住房改造.
- 与未实施组相比,最大成本适应组的LTCF入学风险明显较低 (调整后的分发危险比率:0.67;95% CI:0.49-0.93).
- 在低于最大成本的组中没有观察到LTCF入院风险的显著差异 (aSHR:0.90;95%CI:0.75-1.08).
结论:
- 住房适应是支持有护理需求的老年人现场老龄化的可行策略.
- 最大限度地利用住房适应福利可以有效地降低制度化的风险.
- 医疗保健专业人员和政策制定者应该考虑修改住房环境,以促进独立生活和减少LTCF入院.
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