scholarly journals Change in the trend of long-term care service usage following COVID-19 pandemic in Japan: a survey using nationwide statistical summary in 2018-2021

2021 ◽  
Author(s):  
Kenichiro Sato ◽  
Yoshiki Niimi ◽  
Takeshi Iwatsubo ◽  
Shinya Ishii
Keyword(s):  
Long Term Care ◽  
Care Service ◽  
Community Dwelling ◽  
Service Users ◽  
Short Stay ◽  
Outpatient Services ◽  
Service Usage ◽  
Term Care ◽  
Elderly Individuals

Aim: Social restriction due to coronavirus disease 2019 (COVID-19) pandemic forced long-term care (LTC) service users to refrain from using services as before, of which degree of change we aim to evaluate in this study. Methods: We retrospectively analyzed publicly-distributed nationwide statistics summarizing the monthly number of public LTC insurance users in Japan in the period between April 2018 and March 2021. The degree of decline was quantified as odds ratio (OR), where the ratio of a certain month to the reference month was divided by the ratio in the previous year. Results: The use of LTC services showed unimodal serial change: it started to decline in March 2020 and reached its largest decline in May 2020, which had insufficiently recovered even as of late 2020. The degree of decline was specifically large in services provided in facilities for community-dwelling elderly individuals (adjusted OR 0.719 (95%CI: 0.664 ~ 0.777) in short-stay services and adjusted OR 0.876 (95%CI: 0.820 ~ 0.935) in outpatient services) but was non-significant in other types of service, including those provided for elderly individuals living in nursing homes. Conclusions: Current study showed that community-dwelling elderly individuals who had used outpatient or short-stay services were the segments which were specifically affected by the COVID-19 pandemic in 2020 Japan. It underlines the need for further investigation for the medium- or long-term influence on the mental and physical health of these LTC service users as well as their family caregivers.

scholarly journals 1472Spatial clusters and affecting factors on Alzheimer's disease death in South Korea

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Sujin Yum ◽  
Kwan Hong ◽  
Jeehyun Kim ◽  
Raquel Elizabeth Gomez Gomez ◽  
Byung Chul Chun
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
South Korea ◽  
Long Term Care ◽  
Care Service ◽  
Spatial Regression ◽  
Affecting Factors ◽  
Service Usage ◽  
Term Care

Abstract Background The prevalence of dementia is increasing worldwide; and dementia deaths are also increasing. In South Korea, deaths from Alzheimer's disease (AD) ranked 9th in the 2018 cause of death statistics, and the ranking has risen. Methods We collected 2009 to 2018 AD deaths and related data from Statistics Korea and Community Health Survey. SaTScan software was used for detecting and evaluating the clusters with high risk in AD deaths, and R version 4.0.3 was used for mapping and analysis of affecting factors. Results A total of 39,412 people died from AD during 10 years in Korea, 7.7 per 100,000 inhabitants. While 98.7% of deaths were above-65 age, the proportion of under 65 was also rising. The global Moran index of 10 years’ AD deaths was 0.2 (P < 0.01), and the clusters were detected primarily in southern rural region. According to the spatial regression analysis, AD deaths in 2018 were increased in area with lower dementia screening rate, long-term care workers, and higher home-care service usage rate in long-term care, inhabitants educated about dementia. Conclusions Some clusters of AD deaths were identified, and they were influenced by institutional factors. It is necessary that the local government considers characteristics of each region when implementing the dementia policies. Key messages AD deaths in South Korea were increasing from 2009 to 2018, and their clusters were observed in southern regions. AD deaths in 2018 were influenced by dementia-related policies.

scholarly journals Attitudes Toward Sexual Behaviors in Long-Term Care: Development of an Assessment Tool

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 602-603
Author(s):  
Rachael Spalding ◽  
Emma Katz ◽  
Barry Edelstein
Keyword(s):  
Sexual Behaviors ◽  
Long Term Care ◽  
Assessment Tool ◽  
Qualitative Interviews ◽  
Family Members ◽  
Community Dwelling ◽  
Term Care ◽  
Care Development

Abstract Most older adults living in long-term care settings (LTCs) indicate that expressing their sexuality is important to them (Doll, 2013). Little is known about the general public’s attitudes towards sexual behaviors in LTCs. Attitudes of LTC residents’ family members are particularly important, as family members are most likely to visit residents and to care about their quality of life. Family members’ attitudes could in turn inform facility policies and management. We will present preliminary data from a series of qualitative interviews with community-dwelling adults regarding their attitudes. We will discuss how these data are being used to inform current work on a measure of attitudes toward sexual behavior in LTCs.

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