Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National Database
Background Over half of the Japanese population hope to spend their last days at home; however, 73.0% die in hospitals. The proportion of deaths due to cancer in hospitals is even higher, at 82.4%, and is also high globally. Therefore, there is an urgent need to establish conditions that fulfill the...
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| Format: | Article |
| Language: | English |
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Korea Geriatrics Society
2023-06-01
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| Series: | Annals of Geriatric Medicine and Research |
| Subjects: | |
| Online Access: | http://www.e-agmr.org/upload/pdf/agmr-23-0048.pdf |
| _version_ | 1797791697506140160 |
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| author | Kunio Tarasawa Kenji Fujimori Tomoaki Ogata Hiroki Chiba |
| author_facet | Kunio Tarasawa Kenji Fujimori Tomoaki Ogata Hiroki Chiba |
| author_sort | Kunio Tarasawa |
| collection | DOAJ |
| description | Background Over half of the Japanese population hope to spend their last days at home; however, 73.0% die in hospitals. The proportion of deaths due to cancer in hospitals is even higher, at 82.4%, and is also high globally. Therefore, there is an urgent need to establish conditions that fulfill the hopes of patients, especially those with cancer, who hope to spend their last days at home. This study aimed to clarify medical resources and activities that are related to proportion of death at home among cancer patients. Methods We used data from the Japanese National Database and public data. Japan's Ministry of Health, Labour, and Welfare provides national data on medical services to applicants for research purposes. Using the data, we calculated the proportion of deaths at home in each prefecture. We also collected information on medical resources and activities from public data and conducted multiple regression analyses to investigate factors associated with the proportion of death at home. Results In total, 51,874 eligible patients were identified. The maximum and minimum proportions of death at home based on prefectures differed by approximately three-fold (14.8%–41.6%). We also identified scheduled home-visit medical care (coefficient=0.580) and acute and long-term care beds (coefficient=-0.317 and -0.245) as factors that increased and decreased the proportion of death at home, respectively. Conclusion To fulfill the hopes of cancer patients to spend their last days at home, we recommend that the government develop policies to increase home visits by physicians and optimize hospital acute and long-term care beds. |
| first_indexed | 2024-03-13T02:22:27Z |
| format | Article |
| id | doaj.art-e1a988875bc84cecb28c747b1ddc5de7 |
| institution | Directory Open Access Journal |
| issn | 2508-4798 2508-4909 |
| language | English |
| last_indexed | 2024-03-13T02:22:27Z |
| publishDate | 2023-06-01 |
| publisher | Korea Geriatrics Society |
| record_format | Article |
| series | Annals of Geriatric Medicine and Research |
| spelling | doaj.art-e1a988875bc84cecb28c747b1ddc5de72023-06-30T07:45:07ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092023-06-01272919810.4235/agmr.23.00481070Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National DatabaseKunio Tarasawa0Kenji Fujimori1Tomoaki Ogata2Hiroki Chiba3 Department of Health Administration and Policy, Graduate School of Medicine, Tohoku University, Sendai, Japan Department of Health Administration and Policy, Graduate School of Medicine, Tohoku University, Sendai, Japan Division of Health Policy and Management, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan Department of Medical Education, School of Medicine, Kitasato University, Sagamihara, JapanBackground Over half of the Japanese population hope to spend their last days at home; however, 73.0% die in hospitals. The proportion of deaths due to cancer in hospitals is even higher, at 82.4%, and is also high globally. Therefore, there is an urgent need to establish conditions that fulfill the hopes of patients, especially those with cancer, who hope to spend their last days at home. This study aimed to clarify medical resources and activities that are related to proportion of death at home among cancer patients. Methods We used data from the Japanese National Database and public data. Japan's Ministry of Health, Labour, and Welfare provides national data on medical services to applicants for research purposes. Using the data, we calculated the proportion of deaths at home in each prefecture. We also collected information on medical resources and activities from public data and conducted multiple regression analyses to investigate factors associated with the proportion of death at home. Results In total, 51,874 eligible patients were identified. The maximum and minimum proportions of death at home based on prefectures differed by approximately three-fold (14.8%–41.6%). We also identified scheduled home-visit medical care (coefficient=0.580) and acute and long-term care beds (coefficient=-0.317 and -0.245) as factors that increased and decreased the proportion of death at home, respectively. Conclusion To fulfill the hopes of cancer patients to spend their last days at home, we recommend that the government develop policies to increase home visits by physicians and optimize hospital acute and long-term care beds.http://www.e-agmr.org/upload/pdf/agmr-23-0048.pdfdatabasehome care agencieshealth resourcesmortalityneoplasms |
| spellingShingle | Kunio Tarasawa Kenji Fujimori Tomoaki Ogata Hiroki Chiba Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National Database Annals of Geriatric Medicine and Research database home care agencies health resources mortality neoplasms |
| title | Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National Database |
| title_full | Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National Database |
| title_fullStr | Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National Database |
| title_full_unstemmed | Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National Database |
| title_short | Associations of Death at Home with Medical Resources and Medical Activities in Cancer Patients: A Nationwide Study Using Japanese National Database |
| title_sort | associations of death at home with medical resources and medical activities in cancer patients a nationwide study using japanese national database |
| topic | database home care agencies health resources mortality neoplasms |
| url | http://www.e-agmr.org/upload/pdf/agmr-23-0048.pdf |
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