Patterns of end-of-life care use in Japan: health care and long-term-care use and socioeconomic and cultural characteristics in community

Research Project

Project/Area Number	23590780
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Public health/Health science
Research Institution	Tokyo Medical and Dental University
Principal Investigator	TAKEHITO TAKANO 東京医科歯科大学, 医歯(薬)学総合研究科, 教授 (80126234)
Co-Investigator(Kenkyū-buntansha)	SEINO Kaoruko 東京医科歯科大学, 大学院医歯学総合研究科, 講師 (10508336)
Project Period (FY)	2011 – 2013
Project Status	Completed (Fiscal Year 2013)
Budget Amount *help	¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000) Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000) Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000) Fiscal Year 2011: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords	エンドオブライフ / ケアパターン / 地域特性
Research Abstract	Use of services at hospitals, long-term-care institutions, or homes in the "end-of-life" is influenced by availability of home care services and healthcare services, community connectedness, living conditions, and other factors. We conducted 1) analysis of community and regional indicators related to end-of-life care use, 2) surveys on healthcare use among general citizens, 3) surveys on current services by healthcare and long-term-care service providers, 4) analysis of an anonymously linked database of use of health-care and long-term-care according to public insurance schemes, in a city with a population of eighty-seven thousand. Service use in the last 24 months of 2,047 individuals who died during three years from April 1, 2010 to March 31, 2013 were analyzed. Ten patterns of health and long-term care use were demonstrated by duration of care use (0-1 month, 1-12 months, 13-24 months before death), care settings (home, long-term-care facility, hospital)