A study of home deaths in Japan from 1951 to 2002

BMC Palliative Care
Limin YangEiji Marui

Abstract

Several surveys in Japan have indicated that most terminally ill Japanese patients would prefer to die at home or in a homelike setting. However, there is a great disparity between this stated preference and the reality, since most Japanese die in hospital. We report here national changes in home deaths in Japan over the last 5 decades. Using prefecture data, we also examined the factors in the medical service associated with home death in Japan. Published data on place of death was obtained from the vital statistics compiled by the Ministry of Health, Labor and Welfare of Japan. We analyzed trends of home deaths from 1951 to 2002, and describe the changes in the proportion of home deaths by region, sex, age, and cause of death. Joinpoint regression analysis was used for trend analysis. Logistic regression analysis was performed to identify secular trends in home deaths, and the impact of age, sex, year of deaths and cause of deaths on home death. We also examined the association between home death and medical service factors by multiple regression analysis, using home death rate by prefectures in 2002 as a dependent variable. A significant decrease in the percentage of patients dying at home was observed in the results of join...Continue Reading

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Citations

Nov 30, 2007·Palliative & Supportive Care·Tomomi SanoTakeshi Okabe
Sep 16, 2008·Journal of Palliative Medicine·Marylou Cárdenas-TuranzasLinda Elting
Mar 28, 2013·BMC Palliative Care·Aderaw AntenehAwoke Misganaw
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Nov 5, 2020·Healthcare·Masaki BandoAkihiko Katayama

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Software Mentioned

Joinpoint regression
SPSS11
Joinpoint
SUPPORT

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