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The nursing home versus the hospital as the place of dying for nursing home residents in Japan



The nursing home versus the hospital as the place of dying for nursing home residents in Japan



Health Policy 81(2-3): 280-288



To determine the characteristics of nursing home residents that are associated with dying in a nursing home versus a hospital in Japan. Retrospective case-control study. A nonprofit nursing home with 110 beds in Tokyo, Japan. Eighty-six nursing home residents who died in the nursing home (n=43) or in a hospital (n=43) between 1 April 1999 and 30 September 2004. Nursing home records were reviewed to gain information regarding the following domains: demography, the family decision-maker, health status, resident and family preference for nursing home end-of-life care, and presence of a full-time physician. The variables older age [adjusted odds ratio (adjusted OR)=1.08, 95% confidence interval (95% CI)=1.01-1.17], the family decision-maker's preference for nursing home end-of-life care (adjusted OR=3.95, 95% CI=1.21-12.84), and presence of a full-time physician (adjusted OR=3.74, 95% CI=1.03-13.63) were associated with dying in the nursing home. Older age, the family's preference for nursing home end-of-life care, and the presence of a full-time physician were significantly related to dying in the nursing home versus in a hospital.

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Accession: 050681926

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PMID: 16884813

DOI: 10.1016/j.healthpol.2006.06.008


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