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Development of long-term care quality indicators: construction of indicators across facilities and home care settings

Research Project

Project/Area Number 18K18446
Research Category

Grant-in-Aid for Challenging Research (Exploratory)

Allocation TypeMulti-year Fund
Review Section Studies on the Super-Aging Society
Research InstitutionThe University of Tokyo

Principal Investigator

IGARASHI Ayumi  東京大学, 大学院医学系研究科(医学部), 准教授 (20595011)

Co-Investigator(Kenkyū-buntansha) 福井 小紀子  東京医科歯科大学, 大学院保健衛生学研究科, 教授 (40336532)
池崎 澄江  千葉大学, 大学院看護学研究科, 教授 (60445202)
柏木 聖代  東京医科歯科大学, 大学院保健衛生学研究科, 教授 (80328088)
山本 則子  東京大学, 大学院医学系研究科(医学部), 教授 (90280924)
成瀬 昂  東京大学, 大学院医学系研究科(医学部), 特任准教授 (90633173)
Project Period (FY) 2018-06-29 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥6,370,000 (Direct Cost: ¥4,900,000、Indirect Cost: ¥1,470,000)
Fiscal Year 2020: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2019: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords長期ケアの質指標 / アウトカム / プロセス / 在宅ケア / 介護施設 / 地域包括ケアシステム / ケアの質指標 / 長期ケア / 高齢者 / 介護保険施設 / 医療療養病床 / Long-term care / アウトカム質指標 / 施設 / 在宅
Outline of Final Research Achievements

In this study, we developed quality indicators for long-term care (LTC-QIs) that can be commonly used in home care, nursing home, and LTC hospital settings. We examined their face validity, feasibility, and inter-rater reliability. The results suggested that the LTC-QIs, which were developed for home care settings, could also be used for older adults residing in nursing homes and LTC hospitals. However, there were issues with the feasibility and inter-rater reliability of the indicators related to psychosocial aspects and family well-being. Further studies on these issues and potential solutions may contribute to improving the quality of care for older adults in various LTC settings.

Academic Significance and Societal Importance of the Research Achievements

本研究において、在宅・施設・療養病床において共通して使うことのできる長期ケアの質指標が開発された。本指標ではプロセス・アウトカムの両側面を同時に評価できるため、アウトカムを改善させる対策としてプロセスの見直しが可能であり、またその取り組みの効果をデータにより検証することができる。本研究を多様な長期ケアの場で活用することにより、継続性の担保された質の高いケア提供につながることが期待される。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (8 results)

All 2023 2021 2020 2019

All Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Open Access: 2 results,  Peer Reviewed: 2 results) Presentation (4 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Journal Article] How long-term care quality assurance measures address dementia in Australia, England, Japan, and the United States2021

    • Author(s)
      Lepore Michael、Edvardsson David、Meyer Julienne、Igarashi Ayumi
    • Journal Title

      Aging and Health Research

      Volume: 1 Issue: 2 Pages: 100013-100013

    • DOI

      10.1016/j.ahr.2021.100013

    • Related Report
      2021 Research-status Report
    • Open Access / Int'l Joint Research
  • [Journal Article] Development of quality indicators for evaluating the quality of long‐term care2021

    • Author(s)
      Fukui Chie、Igarashi Ayumi、Noguchi‐Watanabe Maiko、Sakka Mariko、Naruse Takashi、Kitamura Satomi、Inagaki Asa、Takaoka Manami、Kobayashi Hiromi、Yasaka Taisuke、Yamamoto‐Mitani Noriko
    • Journal Title

      Geriatrics & Gerontology International

      Volume: 21 Issue: 4 Pages: 370-371

    • DOI

      10.1111/ggi.14138

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Quality Assurance in Long-Term Care and Development of Quality Indicators in Japan2020

    • Author(s)
      Igarashi Ayumi、Eltaybani Sameh、Takaoka Manami、Noguchi-Watanabe Maiko、Yamamoto-Mitani Noriko
    • Journal Title

      Gerontology and Geriatric Medicine

      Volume: 6

    • DOI

      10.1177/2333721420975320

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 指定インフォメーション・エクスチェンジ3 地域力向上に向けた看護管理者の連携と情報利活用 Long Term Care の見える化ーVENUSプロジェクトー2019

    • Author(s)
      五十嵐歩
    • Organizer
      第23回日本看護管理学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] Long-term Care System and Development of Quality Indicators for Long-term Care in Japan, Sep 20-21, 2019: Chengdu, China. Ayumi Igarashi. Research in the Community-based Integrated Care System in Japan: Building Collaborative Relationships with Convenience Stores. The 4th West China International Nursing Conference2019

    • Author(s)
      Igarashi A.
    • Organizer
      The 4th West China International Nursing Conference, China
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Development of quality indicators in long-term care in Japan: Aiming to construct the high-level community-based integrated care system2019

    • Author(s)
      Igarashi A.
    • Organizer
      BK International Symposium, Korea
    • Related Report
      2019 Research-status Report
  • [Presentation] パネルディスカッション3訪問看護の質評価ー訪問看護実践と成果をいかに可視化するかー2019

    • Author(s)
      柏木聖代,長江弘子,北村智美
    • Organizer
      第9回日本在宅看護学学術集会
    • Related Report
      2019 Research-status Report
  • [Book] ケアシステム2023

    • Author(s)
      飯島 勝矢、山本 則子
    • Total Pages
      208
    • Publisher
      東京大学出版会
    • ISBN
      4130343165
    • Related Report
      2022 Annual Research Report

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Published: 2018-07-25   Modified: 2024-01-30  

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