The Effect of Business Operating Systems on Nursing Home Termination
Objectives: Nursing home terminations have increased worldwide due to rising costs, staffing shortages, and the coronavirus disease pandemic. However, little is known about the impact that business operating systems have on nursing home termination.Methods: This study used the National Long-term Car...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | International Journal of Public Health |
| Subjects: | |
| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605439/full |
| _version_ | 1828048353261256704 |
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| author | Xueying Jin Xueying Jin Kazuaki Uda Miho Ishimaru Miho Ishimaru Tomomi Kihara Takehiro Sugiyama Takehiro Sugiyama Takehiro Sugiyama Takehiro Sugiyama Kazumasa Yamagishi Hiroyasu Iso Nanako Tamiya Nanako Tamiya |
| author_facet | Xueying Jin Xueying Jin Kazuaki Uda Miho Ishimaru Miho Ishimaru Tomomi Kihara Takehiro Sugiyama Takehiro Sugiyama Takehiro Sugiyama Takehiro Sugiyama Kazumasa Yamagishi Hiroyasu Iso Nanako Tamiya Nanako Tamiya |
| author_sort | Xueying Jin |
| collection | DOAJ |
| description | Objectives: Nursing home terminations have increased worldwide due to rising costs, staffing shortages, and the coronavirus disease pandemic. However, little is known about the impact that business operating systems have on nursing home termination.Methods: This study used the National Long-term Care database, which comprised 7,842 operating nursing homes in January 2018. Nursing home termination was identified when nursing homes discontinued provision of long-term care services to all residents between January 2018 and December 2020. Business operating systems that were reimbursed by the LTC insurance system were the exposure of interest. The logistic regression model for nursing home termination included a series of organizational, internal, and external factors as covariates.Results: From 2018 to 2020, 83 (1.1%) nursing homes were terminated. The proportion of reimbursed nursing homes varied greatly depending on the type of business operating systems. Implementing physical function training and improving working conditions were significantly associated with a lower risk of nursing home termination.Conclusion: Financial incentives to several business operating systems are an effective way to build a sustainable environment for nursing homes to continue to exist. |
| first_indexed | 2024-04-10T18:55:02Z |
| format | Article |
| id | doaj.art-bbda146745fd4472a9de6ff6cdad7787 |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-04-10T18:55:02Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-bbda146745fd4472a9de6ff6cdad77872023-02-01T04:11:09ZengFrontiers Media S.A.International Journal of Public Health1661-85642023-02-016810.3389/ijph.2023.16054391605439The Effect of Business Operating Systems on Nursing Home TerminationXueying Jin0Xueying Jin1Kazuaki Uda2Miho Ishimaru3Miho Ishimaru4Tomomi Kihara5Takehiro Sugiyama6Takehiro Sugiyama7Takehiro Sugiyama8Takehiro Sugiyama9Kazumasa Yamagishi10Hiroyasu Iso11Nanako Tamiya12Nanako Tamiya13Department of Social Science, National Center for Geriatrics and Gerontology, Obu, JapanHealth Services Research and Development Center, University of Tsukuba, Tsukuba, JapanDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, JapanHealth Services Research and Development Center, University of Tsukuba, Tsukuba, JapanDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Public Health Medicine, Institute of Medicine, University of Tsukuba, Tsukuba, JapanHealth Services Research and Development Center, University of Tsukuba, Tsukuba, JapanDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, JapanInstitute for Global Health Policy, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, JapanDiabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, JapanDepartment of Public Health Medicine, Institute of Medicine, University of Tsukuba, Tsukuba, JapanInstitute for Global Health Policy, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, JapanHealth Services Research and Development Center, University of Tsukuba, Tsukuba, JapanDepartment of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, JapanObjectives: Nursing home terminations have increased worldwide due to rising costs, staffing shortages, and the coronavirus disease pandemic. However, little is known about the impact that business operating systems have on nursing home termination.Methods: This study used the National Long-term Care database, which comprised 7,842 operating nursing homes in January 2018. Nursing home termination was identified when nursing homes discontinued provision of long-term care services to all residents between January 2018 and December 2020. Business operating systems that were reimbursed by the LTC insurance system were the exposure of interest. The logistic regression model for nursing home termination included a series of organizational, internal, and external factors as covariates.Results: From 2018 to 2020, 83 (1.1%) nursing homes were terminated. The proportion of reimbursed nursing homes varied greatly depending on the type of business operating systems. Implementing physical function training and improving working conditions were significantly associated with a lower risk of nursing home termination.Conclusion: Financial incentives to several business operating systems are an effective way to build a sustainable environment for nursing homes to continue to exist.https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605439/fullnursing home terminationlong-term care insurancefinancial incentivesadditional paymentbusiness operating system |
| spellingShingle | Xueying Jin Xueying Jin Kazuaki Uda Miho Ishimaru Miho Ishimaru Tomomi Kihara Takehiro Sugiyama Takehiro Sugiyama Takehiro Sugiyama Takehiro Sugiyama Kazumasa Yamagishi Hiroyasu Iso Nanako Tamiya Nanako Tamiya The Effect of Business Operating Systems on Nursing Home Termination International Journal of Public Health nursing home termination long-term care insurance financial incentives additional payment business operating system |
| title | The Effect of Business Operating Systems on Nursing Home Termination |
| title_full | The Effect of Business Operating Systems on Nursing Home Termination |
| title_fullStr | The Effect of Business Operating Systems on Nursing Home Termination |
| title_full_unstemmed | The Effect of Business Operating Systems on Nursing Home Termination |
| title_short | The Effect of Business Operating Systems on Nursing Home Termination |
| title_sort | effect of business operating systems on nursing home termination |
| topic | nursing home termination long-term care insurance financial incentives additional payment business operating system |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605439/full |
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