scholarly journals Long-term Care Utilization Discrepancy Among the Elderly in Former Evacuation Areas, Fukushima

Author(s):  
Yurie Kobashi ◽  
Tomohiro Morita ◽  
Akihiko Ozaki ◽  
Toyoaki Sawano ◽  
Nobuaki Moriyama ◽  
...  

Abstract Objective: It is crucial to determine the health status of returnees to former evacuation areas. We aimed to examine the long-term care (LTC) utilization rate among elderly returnees as the indicator of care needs. Methods: This study used a resident registration database to collect information on LTC utilization rate among elderly returnees to former evacuation areas in Fukushima, Japan, following the 2011 Fukushima Daiichi Nuclear Power Plant accident. LTC utilization rates were descriptively analyzed. Results: For all age groups, the LTC utilization rates were lower among returnees than evacuees. The LTC utilization rate among returnees in each age group (chi-square test results compared to evacuees) were as follows: 0.78% (P = 0.194) for those aged 65–69, 0.69% (P = 0.003) for those aged 70–74, 3.23% (P = 0.007) for those aged 75–79, 6.79% (P < 0.001) for those aged 80–84, 22.84% (P = 0.011) for those aged 85–89, and 44.09% (P = 0.089) for those aged 90 and over. Conclusion: Elderly returnees had fewer LTC needs than elderly evacuees. Nevertheless, the proportion of aging people is high in evacuation area, meaning the number of elderly returnees would increase at an enormous rate. Therefore, LTC utilization rate would increase in the future.

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Gianfranco Damiani ◽  
Simona C Colosimo ◽  
Lorella Sicuro ◽  
Alessandra Burgio ◽  
Alessandra Battisti ◽  
...  

1992 ◽  
Vol 70 (2) ◽  
pp. 247 ◽  
Author(s):  
Sheila Rafferty Zedlewski ◽  
Timothy D. McBride

1991 ◽  
Vol 13 (2) ◽  
pp. 171-204 ◽  
Author(s):  
Rhonda J.V. Montgomery ◽  
Barbara A. Hirshorn

2005 ◽  
Vol 17 (2) ◽  
pp. 104-109 ◽  
Author(s):  
J.M. Park

Under the current health care system, around three percent of the elderly remain uninsured. Based on the 2003 Dong-Ku Health Status Survey and the Aday and Andersen Access Framework, the present study examined the social and behavioral determinants of long-term care utilization and the extent to which equity in the use of long-term care services for the elderly has been achieved. The results indicate that universal health insurance system has not yielded a fully equitable distribution of services. Type of coverage and resource availability do not remain predictors of long-term care utilization. The data suggest that a universal health insurance system exists in South Korea with significant access problems for the population without insurance. Access differences also arise from obstacles in expanding the scope and level of plan benefits due to financial disparity among insurers. Health policy reforms must continue to concentrate on extending insurance coverage to the uninsured and establishing long-term insurance system for the elderly. Asia Pac J Public Health 2005; 17(2): 104-109.


2007 ◽  
Vol 22 (4) ◽  
pp. 467-472 ◽  
Author(s):  
Yuko KURAMATSU ◽  
Masaharu MAEDA ◽  
Taizou SHIOMI

Author(s):  
Arthur S. Kraus ◽  
Catherine P. McGeer

ABSTRACTDementia has long been known to shorten life in the elderly, although some studies have suggested a weakening of this relationship in recent decades. This Ontario study involves the comparison of residents with dementia versus a matched group without dementia who were living in long-term-care institutions at the start of the follow-up period.The 2-year death rate in the 257 cases in the matched dementia group was 40.1%, significantly higher than the 30.7% rate in the matched controls. This excess was observed in all four types of institutions, and in seven of the eight sex-age groups. Individuals with dementia who were reported to cause disturbance by noisy behaviour had a significantly higher death rate than others.Comparison of our findings with earlier work suggests that the trend of mortality in elderly institutional residents with dementia has continued downward.


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