The impact of additional payments on functional decline among long-term care health facility residents in Japan.

Age and Ageing
Xueying JinHideo Yasunaga

Abstract

Additional payment approach has been one of the most important incentives in long-term care (LTC) systems for the past 20 years in Japan. To estimate the effect of additional payments on functional decline in long-term care health facility (LTCHF) residents of Japan. A 24-month retrospective cohort study. Residents aged ≥65 years who were newly admitted to LTCHFs in the 2014 fiscal year. National LTC claims data were linked to the survey of institutions and establishments for LTC. Competing risk regression was performed with functional decline as the primary outcome, and additional payments as exposure, controlling for individual and facility characteristics. The level of LTC needs certified in the LTC insurance system was applied as a proxy of functional ability. Death, hospitalisation, discharge to home and transfer to other LTC facilities were treated as competing events. Individual- and facility-level additional payments were presented as binary variables: being reimbursed or not during the follow-up period. At baseline, 146,311 residents from 3,724 LTCHFs were included. The vast majority of additional payments were associated with a lower risk of functional decline at follow-up. At the individual level, additional payment ...Continue Reading

References

Aug 16, 2002·Clinical Nursing Research·Neva L CroganRobert A Short
Mar 18, 2004·JAMA : the Journal of the American Medical Association·Christopher O PhillipsHaya R Rubin
Sep 5, 2007·Journal of the American Geriatrics Society·Takako Tsutsui, Naoko Muramatsu
Jan 23, 2009·The Cochrane Database of Systematic Reviews·Anne ForsterEileen Burns
Jul 16, 2010·The Gerontologist·Nicholas G Castle, Jamie C Ferguson
May 4, 2013·Journal of the American Medical Directors Association·Bruce K TamuraElaine J Amella
Aug 13, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Huei-Ling HuangYea-Ing L Shyu
May 29, 2016·Journal of the American Medical Directors Association·Alvisa PaleseRoger Watson
Feb 21, 2018·Journal of the American Geriatrics Society·Kojiro MoritaHideo Yasunaga
Nov 26, 2018·Journal of the American Medical Directors Association·Jane A WeintraubJohn S Preisser
Oct 19, 2019·Journal of the American Medical Directors Association·Huei-Ru Lin, Yuichi Imanaka
Nov 21, 2019·Geriatrics & Gerontology International·Tomoyuki MatsudaNanako Tamiya
Dec 21, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Massimiliano FedecostanteAntonio Cherubini

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.