Municipal long-term care workforce supply and in-home deaths at the end of life: Panel data analysis with a fixed-effect model in Japan.

Geriatrics & Gerontology International
Kazuhiro AbeNanako Tamiya

Abstract

The study assessed the association between boosting the workforce supply by types of long-term care services and in-home deaths among older people at the municipality level. A fixed-effect panel data analysis was conducted using administrative data for every 3 years from 2008 to 2014. The outcome was the proportion of home deaths, excluding those due to external factors, such as suicide or accident. The explanatory variables were the full-time equivalent numbers of care workers engaged in in-home services, day services, short-stay services, and long-term care facilities per 1000 population aged 65 years and older. Ordinary least squares estimation was conducted, with standard errors corrected for clustering at the prefecture level, adjusting the covariates. Analysis included 1706 municipalities. One care worker increase providing day services per 1000 population aged 65 years and older was associated with a 0.09% increase in the proportion of deaths at home (95% CI: 0.008-0.17). Although statistically non-significant, the number of care workers providing in-home services was positively associated with the proportion of home deaths, whereas the number of those providing short-stay services and providing long-term care facilities...Continue Reading

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Citations

Sep 1, 2021·Geriatrics & Gerontology International·Kazuhiro AbeNanako Tamiya
Jul 13, 2021·Geriatrics & Gerontology International·Koki Kato

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