Japanese Local Governments’ Dissemination Activities for Advance Care Planning: A Descriptive Analysis of a Nationwide Survey during the COVID-19 Pandemic

Noriko Morioka (), Masayo Kashiwagi, Ako Machida, Kyoko Hanari, Takehiro Sugiyama, Ryota Inokuchi and Nanako Tamiya
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Noriko Morioka: Department of Nursing Health Service Research, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 1138510, Japan
Masayo Kashiwagi: Department of Nursing Health Service Research, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 1138510, Japan
Ako Machida: Department of Nursing Health Service Research, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 1138510, Japan
Kyoko Hanari: Health Services Research and Development Center, University of Tsukuba, Tsukuba 3058575, Japan
Takehiro Sugiyama: Health Services Research and Development Center, University of Tsukuba, Tsukuba 3058575, Japan
Ryota Inokuchi: Health Services Research and Development Center, University of Tsukuba, Tsukuba 3058575, Japan
Nanako Tamiya: Health Services Research and Development Center, University of Tsukuba, Tsukuba 3058575, Japan

IJERPH, 2023, vol. 20, issue 7, 1-12

Abstract: This study aims to compare the awareness-raising activities between municipalities with and without focused anti-infection measures during the 2019 coronavirus disease (COVID-19) pandemic. Descriptive analysis was conducted using a nationwide self-administered questionnaire survey on municipalities’ activities for residents and for healthcare providers and care workers (HCPs) in October 2022 in Japan. This study included 433 municipalities that had conducted awareness-raising activities before 2019 Fiscal Year. Workshops for residents were conducted in 85.2% of the municipalities, and they were more likely to be conducted in areas with focused anti-infection measures than those without measures (86.8% vs. 75.4%). Additionally, 85.9% of the municipalities were impacted by the pandemic; 50.1% canceled workshops, while 26.0% switched to a web-based style. Activities for HCPs were conducted in 55.2–63.7% of the municipalities, and they were more likely to be conducted in areas with focused anti-infection measures. A total of 50.6–62.1% of the municipalities changed their workshops for HCPs to a web-based style. Comparisons between areas with and without focused anti-infection measures indicated that the percentages of those impacted for all activities were not significantly different. In conclusion, awareness-raising activities in municipalities were conducted with new methods during the COVID-19 pandemic. Using information technology is essential to further promote such activities for residents.

Keywords: advance care planning; end of life care; local government policy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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