Quality of care in long-term care insurance facilities in Japan: Utilizing big data on medical and long-term care claims

2021 Fiscal Year Final Research Report

• Project/Area Number: 19K19345
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: University of Tsukuba
• Principal Investigator: Jin Xueying 筑波大学, 医学医療系, 助教 (00832148)
• Project Period (FY): 2019-04-01 – 2022-03-31
• Keywords: ケアの質の評価 / 介護保険制度 / 介護保険施設 / アウトカム評価

Outline of Final Research Achievements

This study aims to identify calculable user outcomes in long-term care insurance facilities using medical and long-term care claims data and to identify facility characteristics that affect user outcomes. The results of the literature review revealed that the outcomes used who certified as care-need level: care-need level deterioration, occurrence and severity of dementia, medical and long-term care costs, hospitalization, avoidable hospitalization, readmission, nursing home admission, death, and discharge to home. Residents in long-term care health facilities with additional payments for support for home-life resumption and nutritional management were associated with a decreased risk of functional decline.

Free Research Field

ヘルスサービスリサーチ

Academic Significance and Societal Importance of the Research Achievements

本研究は、初めて介護保険施設における加算が利用者のアウトカムに与える効果を示した。また、介護保険施設の質を評価する際に用いられるアウトカム指標を整理することで、今後のケアの質に関する学術研究に方向性を示した。さらに、本研究では、要介護度重度化の防止に関連する施設特徴を示すことで、施設入所者や入居を検討している人に施設選択に有益な情報を提供した。