Change in long-term care service usage in Japan following the COVID-19 pandemic: A survey using a nationwide statistical summary in 2018-2021.
Change in long-term care service usage in Japan following the COVID-19 pandemic: A survey using a nationwide statistical summary in 2018-2021.
复制标题
COVID-19 大流行后日本长期护理服务使用情况的变化：使用 2018-2021 年全国统计摘要进行的调查。
DOI：
10.1111/ggi.14461
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Ishii S.
中科院分区：
文献类型：
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作者：
Sato K;Niimi Y;Iwatsubo T;Ishii S.
目的冠状病毒病（COVID-19）疫情导致的社会限制迫使许多长期护理（LTC）服务使用者避免使用服务。我们的目的是评估使用LTC services.MethodsWe的变化程度回顾性分析数据从公开分发的全国性统计数据总结了2018年4月至2021年3月期间日本公共LTC保险用户的每月数量。结果长期护理服务的使用率于2020年3月开始下降，并于2020年5月录得最大跌幅。此后，即使到2020年底，它也有所恢复，但仍不充分。尤其是在为社区居住的老年人提供的服务方面，下降幅度较大[与上一年的比率= 0.717（95% CI：0.645-0.796），比率= 0.876（95%置信区间：0.802-0.957），但在其他类型的服务中不显著，包括为居住在养老院的老年人提供的服务。结论使用门诊或短期住院服务的社区居住老年人尤其受到COVID-19的影响2020年大流行。这强调了需要进一步调查服务使用率下降对LTC服务使用者及其照顾者的心理和身体健康的中期或长期影响。Geriatr Gerontol Int 2022; 22：803-809。
AimSocial restrictions due to the coronavirus disease (COVID‐19) pandemic forced many long‐term care (LTC) service‐users to refrain from using services. We aimed to evaluate the degree of change in the use of LTC services.MethodsWe retrospectively analyzed data from the publicly distributed nationwide statistics summarizing the monthly number of public LTC insurance users in Japan between April 2018 and March 2021. The degree of decline was quantified as a ratio, where the ratio of a certain month to the reference month was divided by the ratio in the previous year.ResultsThe use of LTC services started to decline in March 2020 and reached its largest decline in May 2020. Thereafter, it recovered but insufficiently, even as of late 2020. The degree of decline was particularly large for services provided in facilities for community‐dwelling elderly individuals [Ratio to the previous year = 0.717 (95% CI: 0.645–0.796) in short‐stay services, and Ratio = 0.876 (95% CI: 0.802–0.957) in outpatient services], but was non‐significant in other types of services, including those provided for elderly individuals living in nursing homes.ConclusionsCommunity‐dwelling elderly individuals who had used outpatient or short‐stay services were especially affected by the COVID‐19 pandemic in 2020. This underlines the need for further investigation of the medium‐ or long‐term influence of the decline in service usage on the mental and physical health of the LTC service‐users and their caregivers.Geriatr Gerontol Int 2022; 22: 803–809.