Next Article in Journal
Refugee Status as a Possible Risk Factor for Childhood Enuresis
Next Article in Special Issue
Association between Chronic Pain and Physical Frailty in Community-Dwelling Older Adults
Previous Article in Journal
Clinical Evaluation of Sarcoidosis in Community Members with World Trade Center Dust Exposure
Previous Article in Special Issue
The Association between Osteoporosis and Grip Strength and Skeletal Muscle Mass in Community-Dwelling Older Women
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
IJERPH
Volume 16
Issue 7
10.3390/ijerph16071292
ijerph-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospective Study

by
Michio Maruta
1,*,
Takayuki Tabira
2,
Hyuma Makizako
3,
Akira Sagari
4,
Hironori Miyata
5,
Koji Yoshimitsu
2,
Gwanghee Han
6,
Kazuhiro Yoshiura
6 and
Masahiro Kawagoe
7
1
Medical Corporation, Sansyukai, Okatsu Hospital, 3-9, Masagohommachi, Kagoshima 890-0067, Japan
2
Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan
3
Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan
4
Division of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Shinshu University, 3-1-1, Asahi, Matsumoto, Nagano 390-8621, Japan
5
Department of Occupational Therapy, Faculty of Rehabilitation, Kyushu Nutrition Welfare University, 1-5-1, Kuzuharatakamatsu, Kokuraminami-ku, Kitakyushu, Fukuoka 800-0298, Japan
6
Department of Neuropsychiatry, Kumamoto University Hospital, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan
7
Graduate Course of Health and Social Services, Saitama Prefectural University, 820, Sannomiya, Koshigaya, Saitama 343-8540, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(7), 1292; https://doi.org/10.3390/ijerph16071292
Submission received: 25 February 2019 / Revised: 4 April 2019 / Accepted: 6 April 2019 / Published: 10 April 2019
(This article belongs to the Special Issue Geriatrics Syndromes Prevention)
Browse Figure
Review Reports Versions Notes

Abstract

Outpatient rehabilitation (OR) and outpatient day long-term care (ODLC) services are frequently used by older adult patients in Japan. However, there is a need to clarify that OR service, which has more rehabilitation professionals than ODLC, has the role of providing rehabilitation. This retrospective study examined the impact of OR services by comparing the two services based on City A data from the care-needs certification survey conducted between 2015 to 2017. We performed a propensity score matched analysis to compare the changes in the care level and function of OR and ODLC users after two years. The results showed that OR users showed a lower deterioration in care levels and less decline in the activities of daily living (ADL) in dementia and adaptation to social life. In the analysis of older adults requiring support, OR users had a lower deterioration in care levels and less decline in the ADL in dementia and behavioral and psychological symptoms than ODLC users did. There was no difference between the two services with respect to older adults requiring long-term care. The OR service has had an increasingly preventive effect on the deterioration of care levels compared to the ODLC service, which was particularly evident in older adults requiring support.
Keywords: Long-term care insurance; geriatric; healthcare; outpatient rehabilitation; outpatient day long-term care Long-term care insurance; geriatric; healthcare; outpatient rehabilitation; outpatient day long-term care

Share and Cite

MDPI and ACS Style

Maruta, M.; Tabira, T.; Makizako, H.; Sagari, A.; Miyata, H.; Yoshimitsu, K.; Han, G.; Yoshiura, K.; Kawagoe, M. Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospective Study. Int. J. Environ. Res. Public Health 2019, 16, 1292. https://doi.org/10.3390/ijerph16071292

AMA Style

Maruta M, Tabira T, Makizako H, Sagari A, Miyata H, Yoshimitsu K, Han G, Yoshiura K, Kawagoe M. Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospective Study. International Journal of Environmental Research and Public Health. 2019; 16(7):1292. https://doi.org/10.3390/ijerph16071292

Chicago/Turabian Style

Maruta, Michio, Takayuki Tabira, Hyuma Makizako, Akira Sagari, Hironori Miyata, Koji Yoshimitsu, Gwanghee Han, Kazuhiro Yoshiura, and Masahiro Kawagoe. 2019. "Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospective Study" International Journal of Environmental Research and Public Health 16, no. 7: 1292. https://doi.org/10.3390/ijerph16071292

APA Style

Maruta, M., Tabira, T., Makizako, H., Sagari, A., Miyata, H., Yoshimitsu, K., Han, G., Yoshiura, K., & Kawagoe, M. (2019). Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospective Study. International Journal of Environmental Research and Public Health, 16(7), 1292. https://doi.org/10.3390/ijerph16071292

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop