Effect of Home-Visit Nursing Agencies and the Number of Nurses per Agency on Home Death Rates in Japan: A Panel Data Study from 2016 to 2022

Takemasa Ishikawa; Yoshiyuki Takashima

doi:10.51094/jxiv.1164

##article.authors##

Takemasa Ishikawa Nana-r Home-visit Nursing Development Center, Tekix Corporation
Yoshiyuki Takashima Department of Nursing, Baika Women's University https://orcid.org/0009-0005-7800-919X https://researchmap.jp/takashimayoshiyuki

DOI:

https://doi.org/10.51094/jxiv.1164

キーワード:

Older adults、 Home care nursing、 End-of-life care、 home death、 home-visit nursing agencies

抄録

This study examined the effects of increasing home-visit nursing agencies and nurses per agency on home death rates in Japan, considering the growing demand for end-of-life care. Publicly available data from 1,741 municipalities from 2016 to 2022 were analyzed using Pooled Ordinary Least Squares, Fixed-Effects, and Random-Effects models. Covariates such as population density, proportion of the older population, household size, number of hospitals, and home clinics were included. The Fixed-Effects model showed that each additional home-visit nursing agency increased the home death rate by 0.06% (p = .010), and each additional nurse per agency increased it by 0.11% (p = .001). Expanding the workforce within existing agencies may have a greater impact on home deaths than merely increasing the number of agencies. Future research should consider factors like family caregiving capacity and regional healthcare practices to improve home-based end-of-life care strategies.

利益相反に関する開示

The authors declare no conflicts of interest regarding the publication of this study.

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