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논문 기본 정보

자료유형
학술저널
저자정보
Hiroshige Matsumoto (Department of Community Health Nursing Graduate School of Medicine The University of Tokyo Tokyo Ja) Masahiro Kawagoe (Graduate Course of Health and Social Services Saitama Prefectural University Saitama Japan) Satoko Hotta (Graduate School of Health Management Keio University Kanagawa Japan)
저널정보
대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.25 No.4
발행연도
2021.12
수록면
286 - 293 (8page)
DOI
10.4235/agmr.21.0108

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초록· 키워드

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Background: This study aimed to identify reduced home care use among older people and its impact on user numbers and service provider revenues during the coronavirus disease 2019 (COVID-19) pandemic. Methods: We conducted this secondary analysis of cross-sectional data from long-term care providers in Japan and estimated the probability of client cancellations and service contraction for institutional and home care services adjusted for the service type, area, size, infection occurrence, and staff employment impacts. We then estimated the rate of change in user numbers and revenue related to reduced usage. Results: Seventy-two percent of home care providers experienced client cancellations and 42.1% experienced service contraction, both of which were more prevalent in home care than in institutional care (adjusted odds ratio [AOR]=11.09 and 1.60). Home-visit (AOR=0.70) and short-term stay (AOR=0.38) services were less likely to experience client cancellations compared with adult day services. Service contraction was less likely in home-visit services (AOR=0.60) but were more likely in short-stay services (AOR=1.49) compared to adult day services. The estimated reductions in user numbers and revenue related to service contraction for adult day services were 9.1% and 7.1%, respectively. Home-visiting services decreased by an estimated 3.4% owing to service contraction. Conclusion: The secondary effects of the COVID-19 pandemic include reduced use of home care services, especially adult day services that include social contact. These secondary effects of the COVID-19 pandemic may cause functional deterioration in non-infected clients and financially impact service providers.
#Adult day care centers #COVID-19 #Home care services #Long-term care #Respite care

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참고문헌 (24)

참고문헌 신청
Lim WS / 2020 / COVID-19 and older people in Asia : Asian Working Group for Sarcopenia calls to actions / Geriatr Gerontol Int 20:547~558 google schola Simard J / 2020 / Loneliness and isolation in long-term care and the COVID-19 pandemic / J Am Med Dir Assoc 21:966~967 google schola Chu CH / 2020 / Competing crises : COVID-19 countermeasures and social isolation among older adults in long-term care / J Adv Nurs 76:2456~2459 google schola Omura T / 2020 / Geriatric practice during and after the COVID-19 pandemic / Geriatr Gerontol Int 20:735~737 google schola Yeung TA / 2020 / COVID-19 and older adults : experience in Hong Kong / Asian J Gerontol Geriatr 15:1~6 google schola

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