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Factors associated with the introduction of visiting-pharmacist services in older adults in Japan: A nested case-control study.
- Source :
-
Geriatrics & Gerontology International . Apr2024, Vol. 24 Issue 4, p344-351. 8p. - Publication Year :
- 2024
-
Abstract
- Aim: To investigate the factors associated with introducing visiting-pharmacist services for community-dwelling older adults in Japan. Methods: We conducted a nested case-control study using claims data in a cohort from a city in Tokyo. Patients aged =65 years who received visiting-pharmacist services for the first time between April 2014 and March 2020 were considered case patients. A maximum of four controls to each case patient were randomly selected on the basis of sex, age, health insurance systems, and month-year. Medical and long-term care service usage and patient condition were assessed using claims data from the index and preceding months, along with long-term care needs certification data. Multivariable conditional logistic regression analysis was conducted to estimate the adjusted odds ratios with 95% confidence intervals for factors associated with visiting-pharmacist service introduction. Results: A total of 22 949 participants (4591 cases and 18 358 controls) were included, with a median age of 85 years; 59.3% were women. The adjusted odds ratios (95% confidence intervals) of the three most related factors were 27.61 (23.98-31.80) for physicians' home visits, 5.83 (5.08-6.70) for hospitalization, and 4.97 (4.16-5.95) for designated-facility admission. Factors such as prescribing ≧10 medications, visiting nursing, and cancer were positively associated. In contrast, low household income and a high need for support due to cognitive function or disability were negatively associated. Conclusions: This study provides insights into the introduction of visiting-pharmacist services for older adults in Japan. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HOME care services
*INDEPENDENT living
*HEALTH insurance reimbursement
*RESEARCH funding
*SEX distribution
*HEALTH insurance
*LONG-term health care
*MEDICAL care
*MULTIPLE regression analysis
*HOSPITAL care
*AGE distribution
*MULTIVARIATE analysis
*LONGITUDINAL method
*ODDS ratio
*PHARMACISTS
*CASE-control method
*CONFIDENCE intervals
*PSYCHOSOCIAL factors
*HOSPITAL pharmacies
Subjects
Details
- Language :
- English
- ISSN :
- 14441586
- Volume :
- 24
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Geriatrics & Gerontology International
- Publication Type :
- Academic Journal
- Accession number :
- 177101399
- Full Text :
- https://doi.org/10.1111/ggi.14838