Publications by authors named "Rumiko Tsuchiya-Ito"
Objectives: Housing adaptations may contribute to aging in place for older adults with care needs by reducing the risk of long-term care facility (LTCF) admissions, but this association remains unclear. We examined the association between housing adaptations and LTCF admissions among older adults with care needs.
Design: Retrospective cohort study using data from a Japanese municipality.
This study aimed to clarify patient characteristics regarding medication-taking behaviors, their understanding of medication instructions and specific medication management for older adults who initiated visiting pharmacist services. By analyzing long-term care certification data, participants using visiting pharmacist services required more medication-taking support and had a poorer understanding of daily schedules.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the effectiveness of advanced care management versus conventional care management in home-based long-term care for older adults in Japan.
- It examines data from 856 care recipients, finding no significant difference in the progression of care needs between the two management types over four years.
- However, recipients of advanced care management used fewer home-help and community-based day care services compared to those receiving conventional care.
Aim: To investigate the factors associated with introducing visiting-pharmacist services for community-dwelling older adults in Japan.
Methods: We conducted a nested case-control study using claims data in a cohort from a city in Tokyo. Patients aged ≥65 years who received visiting-pharmacist services for the first time between April 2014 and March 2020 were considered case patients.
Objectives: This study aimed to determine the longitudinal associations of the coexistence of frailty and depressive symptoms with mortality among older adults.
Methods: The study participants were community-dwelling older adults aged ≥65 years who participated in the baseline survey of the Kashiwa Cohort Study in Japan in 2012. We used Fried's frailty phenotype criteria to classify participants as non-frail (score = 0), pre-frail (1 or 2), or frail (≥3).
Objective: To investigate symptomatic and preventive medication use according to age and frailty in Australian and Japanese nursing homes (NHs).
Methods: Secondary cross-sectional analyses of two prospective cohort studies involving 12 Australian NHs and four Japanese NHs. Frailty was measured using the FRAIL-NH scale (non-frail 0-2; frail 3-6; most-frail 7-14).
Background: Housing adaptations are aimed at minimizing the mismatch between older adults' functional limitations and their building environments. We examined the association of housing adaptations with the prevention of care needs level deterioration among older adults with frailty in Japan.
Methods: The subjects comprised individuals who were first certified as having care support levels (defined as frail, the lowest two of seven care needs levels) under the public long-term care insurance systems between April 2015 and September 2016 from a municipality close to Tokyo.
Background And Objectives: Readmission-related health care reforms have shifted their focus from all-cause readmissions (ACR) to potentially avoidable readmissions (PAR). However, little is known about the utility of analytic tools from administrative data in predicting PAR. This study determined whether 30-day ACR or 30-day PAR is more predictable using tools that assess frailty, comorbidities, and activities of daily living (ADL) from administrative data.
View Article and Find Full Text PDFThis study described clients' experiences within adult day care (ADC) and its related impacts. A multisite case study was conducted with 26 older adults from six ADCs in Tokyo, with interviews and field observations conducted between November 2020 and July 2022. The transcribed interviews and field notes were analyzed qualitatively.
View Article and Find Full Text PDFBackground: Accessible housing is crucial to maintain a good quality of life for older adults with functional limitations, and housing adaptations are instrumental in resolving accessibility problems. It is unclear to what extent older adults, who have a high risk of further functional decline, use housing adaptation grants acquired through the long-term care (LTC) insurance systems. This study aimed to examine the utilization of housing adaptation grants in terms of implementation and costs, for older adults with different types of functional limitations related to accessibility problems.
View Article and Find Full Text PDFObjective: To examine the effects of early postdischarge rehabilitation on care needs-level deterioration in older Japanese patients.
Design: Propensity score-matched retrospective cohort study.
Setting: A secondary data analysis was conducted using medical and long-term care insurance claims data from a suburban city in Japan.
Background: This study aimed to establish the validity and reliability of a revised index for social engagement (RISE) in the Japanese context.
Methods: We analysed the data of 1377 participants over 65 years of age who had been admitted to two types of long-term care facilities (LTCF) in Japan: four health facilities for older adults and eight nursing homes. Resident level data based on the Japanese version of the interRAI assessment instrument were collected from 623 residents in the former and 754 in the latter.
Aim: To identify facility-level characteristics associated with hospitalization within 30 days after admission to a geriatric intermediate care facility (GICF) (30-day hospitalization) in Japan.
Methods: This retrospective cohort study used nationwide long-term care insurance claims data and a national survey of long-term geriatric care facilities. The study population was residents admitted to GICFs between October 2016 and February 2018.
Introduction: Understanding the association between cognitive impairment severity and potentially avoidable readmissions (PARs) in older patients may facilitate the identification of at-risk individuals who would benefit from readmission prevention measures.
Methods: This retrospective cohort study was conducted using claims data linked with routinely collected cognitive impairment assessment results from a general acute care hospital in Tokyo, Japan. Patients were 65 years or age or older who were discharged from the subject hospital to home or a facility between July 2016 and September 2018.
Background: To examine the association of household income with home-based rehabilitation and home help services in terms of service utilization and expenditures.
Methods: A secondary data analysis of cross-sectional design was conducted using long-term care (LTC) insurance claims data, medical claims data, and three types of administrative data. The subjects comprised LTC insurance beneficiaries in Kashiwa city, Japan, who used long-term home care services in the month following care needs certification.
Article Synopsis
- * A study of 820,215 older adults in Tokyo used medical claims and health checkup data to analyze how pharmacological treatments affected participation in these checkups and found that treated patients were more likely to participate.
- * The research suggests shifting the purpose of health checkups to not only identify at-risk individuals but also to support effective disease management, using linked health data to enhance healthcare evaluations and systems.
Article Synopsis
- The study aimed to analyze the connection between three hospital discharge services and potentially avoidable readmissions (PARs) within 30 days for older adults post-rehabilitation in Tokyo.
- It utilized data from over 31,000 patients aged 75 and older who were discharged from acute care hospitals, finding that only 2.9% had 30-day PARs but no significant associations with the discharge services studied.
- The results indicated that home medical care services, a higher number of rehabilitation units, and a higher Hospital Frailty Risk Score were linked to increased odds of PARs, suggesting other factors may be more impactful than discharge services.
Environmental Challenges in the Home for Ageing Societies: a Comparison of Sweden and Japan.
J Cross Cult Gerontol
September 2019
Sweden and Japan are developed welfare countries facing serious societal and public health challenges due to demographic ageing. The objective of the present study was to provide a background to environmental challenges in the home, related to demographic ageing. Specific aims were to compare: 1) demography and household composition 2) physical housing stocks 3) indoor accidents and 4) housing adaptations between the two countries.
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- - The study aimed to explore how children's and families' daily routines relate to safety practices at home.
- - Researchers surveyed 336 parents of 3-year-olds in Tokyo about their family's habits and analyzed the data using logistic regression.
- - Key findings revealed that non-implementation of safety practices was linked to factors like late TV watching, inconsistent hand washing, and lower scores in family routines.
Article Synopsis
- * Methods: Analyzed data from 7,213 patients discharged between September 2013 and July 2014 using statistical models to assess various factors such as demographics and health conditions that might impact readmission rates.
- * Results: About 11.2% of patients were readmitted within 30 days, with higher rates among men, cancer patients, and those admitted through emergency. Home care support clinics significantly decreased readmission rates, and larger hospitals also showed lower rates compared to smaller clinics.