Factors Influencing Home Death in a Japanese Metropolitan Region
Author Information
Author(s): Akiyama Akiko, Hanabusa Hiroo, Mikami Hiroshi
Primary Institution: Osaka University Graduate School of Medicine
Hypothesis
What factors influence the likelihood of dying at home in the Tokyo metropolitan area?
Conclusion
The study found that collaboration among healthcare providers and teaching coping skills to family members are crucial for increasing the likelihood of home deaths.
Supporting Evidence
- Collaboration with hospitals and teaching coping skills to families were significant factors for home deaths.
- Multiple physician practices had more resources and better collaboration than single physician practices.
- Home death rates were higher in clinics that collaborated with other healthcare providers.
Takeaway
This study shows that to help people die at home, doctors and nurses need to work together and teach families how to care for their loved ones.
Methodology
An anonymous survey was mailed to 998 home care supporting clinics in Tokyo, and responses from 166 clinics were analyzed.
Potential Biases
The study may not accurately represent all home care clinics due to the low response rate and potential nonfunctioning clinics.
Limitations
The response rate was low at 18.4%, and many nonfunctioning clinics may not have responded.
Participant Demographics
Clinics in the 23 wards of Tokyo, Japan.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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