Predictors for increasing eligibility level among home help service users in the Japanese long-term care insurance system
- PMID: 24089675
- PMCID: PMC3782138
- DOI: 10.1155/2013/374130
Predictors for increasing eligibility level among home help service users in the Japanese long-term care insurance system
Abstract
Objectives: This cross-sectional study described the prevalence of possible risk factors for increasing eligibility level of long-term care insurance in home help service users who were certified as support level 1-2 or care level 1-2 in Japan.
Methods: Data were collected from October 2011 to November 2011. Variables included eligibility level, grip strength, calf circumference (CC), functional limitations, body mass index, memory impairment, depression, social support, and nutrition status.
Results: A total of 417 subjects (109 males and 308 females, mean age 83 years) were examined. There were 109 subjects with memory impairment. When divided by cut-off values, care level 2 was found to have higher prevalence of low grip strength, low CC, and depression.
Conclusions: Some potentially modifiable factors such as muscle strength could be the risk factors for increasing eligibility level.
References
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- Colombo F, Llena-Nozal A, Mercire J, Tjadens F. Help Wanted? Providing and Paying for Long-Term Care, OECD Health Policy Studies. Paris, France: OECD; 2011.
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- Japan Ministry of Health, & Labour and Welfare Kaigo Hoken Jigyo Jokyo Houkokuno Gaiyou. Summary of status report of long term care insurance), http://www.mhlw.go.jp/topics/kaigo/osirase/jigyo/09/dl/h21_gaiyou.pdf, 2011.
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- Shinkai S, Watanabe S, Kumagai S, et al. Walking speed as a good predictor for the onset of functional dependence in a Japanese rural community population. Age and Ageing. 2000;29(5):441–446. - PubMed
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