Actual conditions for returning home after hospitalization among older patients receiving home medical care in Japan: <scp>OHCARE</scp> Study-Reference-Cited by-同舟云学术

Actual conditions for returning home after hospitalization among older patients receiving home medical care in Japan: OHCARE Study

Published:2024-01-24 Issue:S1 Volume:24 Page:320-326
ISSN:1444-1586
Container-title:Geriatrics & Gerontology International
language:en
Short-container-title:Geriatrics Gerontology Int

Author:

Murakami Naoko¹^ORCID,Kabayama Mai¹^ORCID,Yano Tomoko¹,Nakamura Chika¹,Fukata Yuka¹,Morioka Chihiro¹,Fang Wen¹,Nako Yumiko¹,Omichi Yuki¹,Koujiya Eriko¹,Godai Kayo¹,Kido Michiko¹,Tseng Winston²,Wada Taizo³^ORCID,Nakamura Toshinori⁴,Hirotani Atsushi⁵,Fukuda Toshio⁶,Tamatani Michio⁷,Okuda Yoshinari⁸,Ikushima Masashi⁹,Baba Yoshichika¹⁰,Nagano Masahiro¹¹,Nakamura Yukio¹²,Rakugi Hiromi¹³¹⁴^ORCID,Kamide Kei¹¹³^ORCID

Affiliation:

1. Division of Health Sciences Osaka University, Graduate School of Medicine Osaka Japan

2. School of Public Health University of California Berkeley California USA

3. Osaka Home Medical Care Clinic Osaka Japan

4. Nakamura Clinic Osaka Japan

5. Hirotani Clinic Osaka Japan

6. Fukuda Clinic Osaka Japan

7. Tamatani Clinic Osaka Japan

8. Okuda Clinic Osaka Japan

9. Ikushima Clinic Osaka Japan

10. Baba Clinic Osaka Japan

11. Nagano Clinic Osaka Japan

12. Yukokai Nakamura Clinic Osaka Japan

13. Department of Geriatric and General Medicine Osaka University, Graduate School of Medicine Osaka Japan

14. Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital Osaka Japan

Abstract

AimTo examine the actual conditions of older patients receiving home medical care after hospitalization over a period of 2 years in Japan.MethodsThe study population included 102 participants, aged ≥65 years, receiving home medical care, who consented to participate in the Osaka Home Care Registry (OHCARE) study in Japan over a period of 2 years. We investigated the actual conditions for returning home after hospitalization.ResultsThe median age of the 102 participants was 84 years, and 61 (59.8%) were women. In the group that returned home, 42 (55.3%) of the respondents desired to recuperate in a familiar place, as in advanced care planning (ACP). During the 2‐year follow‐up period, the group that did not return home had significantly more deaths. A multivariate analysis showed the association in the presence of ACP (odds ratio: 4.72, 95% confidence interval: 1.60–13.86) and cardiac disease (odds ratio: 0.25, 95% confidence interval: 0.08–0.76). The lack of ACP in the medical records when the patient was admitted to the hospital may have prevented the return home.ConclusionIn older patients who had difficulty returning home after hospitalization, the lack of ACP in home medical care may have been an influencing factor. ACP could help continue with home medical care. Geriatr Gerontol Int 2024; 24: 320–326.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/ggi.14802

Reference30 articles.

1. Health Promotion for Older Population in Japan: Importance of Preventive Care and Successful Assisted Living

2. Ministry of Health Labour and Welfare.Regional Comprehensive Care System 1. Toward the Realization of a Regional Comprehensive Care System 2021. Available from URL.https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/hukushi_kaigo/kaigo_koureisha/chiiki-houkatsu/.

3. Ministry of Health Labour and Welfare.The 2nd Working Group on Home Healthcare and Cooperation between Medical and Nursing Care Available from URL2022.https://www.mhlw.go.jp/content/10800000/000909712.pdf.

4. Statistics Bureau Ministry of Internal Affairs and Communications 5 Available from URLhttps://www.stat.go.jp/data/topics/topi1135.html.

5. Ministry of Health Labour and Welfare.Long‐Term Care Service Infrastructure and Housing for the Elderly Available from URL2019.https://www.mhlw.go.jp/content/12300000/000560215.pdf.