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

Michio Maruta, Takayuki Tabira, Hyuma Makizako, Akira Sagari, Hironori Miyata, Koji Yoshimitsu, Gwanghee Han, Kazuhiro Yoshiura and Masahiro Kawagoe
Additional contact information
Michio Maruta: Medical Corporation, Sansyukai, Okatsu Hospital, 3-9, Masagohommachi, Kagoshima 890-0067, Japan
Takayuki Tabira: Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan
Hyuma Makizako: Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan
Akira Sagari: Division of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Shinshu University, 3-1-1, Asahi, Matsumoto, Nagano 390-8621, Japan
Hironori Miyata: Department of Occupational Therapy, Faculty of Rehabilitation, Kyushu Nutrition Welfare University, 1-5-1, Kuzuharatakamatsu, Kokuraminami-ku, Kitakyushu, Fukuoka 800-0298, Japan
Koji Yoshimitsu: Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan
Gwanghee Han: Department of Neuropsychiatry, Kumamoto University Hospital, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan
Kazuhiro Yoshiura: Department of Neuropsychiatry, Kumamoto University Hospital, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan
Masahiro Kawagoe: Graduate Course of Health and Social Services, Saitama Prefectural University, 820, Sannomiya, Koshigaya, Saitama 343-8540, Japan

IJERPH, 2019, vol. 16, issue 7, 1-18

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 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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