Japanese National Dementia Plan Is Associated with a Small Shift in Location of Death: An Interrupted Time Series Analysis
Autor: | Janet MacNeil Vroomen, Joost D. Wammes, Jenny T. van der Steen, Miharu Nakanishi |
---|---|
Přispěvatelé: | Graduate School, Geriatrics, APH - Aging & Later Life, APH - Methodology, Amsterdam Neuroscience |
Rok vydání: | 2021 |
Předmět: |
Male
Population end-of-life Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Interrupted Time Series Analysis All institutes and research themes of the Radboud University Medical Center Primary outcome Japan Medicine Dementia Humans interrupted time series Hospital Mortality education Health policy Aged Aged 80 and over education.field_of_study Terminal Care Models Statistical business.industry General Neuroscience health policy General Medicine medicine.disease Home Care Services Nursing Homes Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Relative risk Female Death certificate Geriatrics and Gerontology business Nursing homes place of death Demography Research Article |
Zdroj: | Journal of Alzheimer's Disease Journal of Alzheimer's Disease, 83, 791-797 Journal of Alzheimer's Disease, 83, 2, pp. 791-797 Journal of Alzheimer's Disease, 83(2), 791-797. IOS Press |
ISSN: | 1387-2877 |
Popis: | Background: Japan has one of the highest percentages of persons with dementia and hospital deaths in the world. Hospitals are often not equipped to handle the care complexity required for persons with dementia at the end of life. The National Dementia Orange plan aimed to decrease hospital deaths by expanding time in the community. Objective: The aim of this study is to evaluate whether the National Dementia Orange Plan is associated with a decrease in hospitals deaths for persons with dementia. Methods: We used quarterly, cross-sectional, national death certificate data consisting of the total Japanese dementia population 65 years and older, spanning a period from 2009 to 2016. The primary outcome was quarterly adjusted relative risk rates (aRRR) of dying in hospital, nursing home, home, or elsewhere. An interrupted time series analysis was performed to study the slope change over time. Analyses were adjusted for sex and seasonality. Results: 149,638 died with dementia. With the implementation of the Orange Plan, death in nursing home (aRRR 1.08, [1.07–1.08], p |
Databáze: | OpenAIRE |
Externí odkaz: |