Abstract
BackgroundJapan has the largest population of older adults in the world; it is only growing as life expectancy increases worldwide. As such, solutions to potential obstacles must be studied to maintain healthy, productive lives for older adults. In 2011, the Japanese government has started a policy to increase “Elderly Housing with Care Services (EHCS)”, which is one of a private rental housing, as a place where safe and secure end-of-life care can be provided. The government expect for them to provide end-of-life care by collaborating with the Home-Visit Nursing Agencies (HVNA). The purpose of this study is to clarify the situation of the end-of-life care provision in EHCS in collaboration with HVNA and to examine the factors that associate with the provision of the end-of-life care in EHCS.MethodsA two-stage nationwide survey (fax and mail surveys) were conducted. Of the 5,172 HVNA of the National Association for Visiting Nurse Services members, members from 359 agencies visited EHCS. Logistic regression analysis was conducted with the provision of end-of-life care to EHCS in 2017 as the dependent variable, and the following as independent variables: characteristics of HVNA and EHCS; characteristics of residents; collaborations between HVNA and EHCS; and the reasons for starting home-visit nursing.ResultsOf the 342 HVNA who responded to the collaborations with EHCS, 21.6% provided end-of-life care. The following factors were significantly associated with the provision of end-of-life care to inmates in elderly care facilities: being affiliated with a HVNA, admitting many residents using long-term care insurance, collaborating with each other for more than three years, and started visiting-nurse services after being requested by a resident’s physician.ConclusionsThis study clarified the situation of the provision of end-of-life care in EHCS in collaboration with HVNA and the related factors that help in providing end-of-life care in EHCS.
Highlights
Japan has the largest population of older adults in the world; it is only growing as life expectancy increases worldwide
Data from 342 facilities were analyzed (Fig. 1)
Responses from the 342 Home-Visit Nursing Agencies (HVNA) described the characteristics of one of the Elderly Housing with Care Services (EHCS) that they visited, as well as those of EHCS residents who used services provided by the visiting nurses (Table 1)
Summary
Japan has the largest population of older adults in the world; it is only growing as life expectancy increases worldwide. The government expect for them to provide end-of-life care by collaborating with the Home-Visit Nursing Agencies (HVNA). As the aging population increases, so does the number of deaths; the deaths of nursing home residents, and the deaths of older adults who reside at home in developed countries. We believe it is important to focus on the developed countries and on the method to construct an end-of-life care providing system for the older adults, focusing on “housing” among eight abovementioned core features so that each older individual can spend their remaining years in good health whether they live in nursing homes or at home [4]
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