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:
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