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Change of Use in Community Services among Disabled Older Adults during COVID-19 in Japan

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  • Tomoko Ito

    (Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
    Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan)

  • Sachiko Hirata-Mogi

    (Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
    Analytics & Innovation Department, Research & Development Group, SMS Co., Ltd., Tokyo 105-0011, Japan)

  • Taeko Watanabe

    (Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan)

  • Takehiro Sugiyama

    (Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
    Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
    Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo 162-8655, Japan)

  • Xueying Jin

    (Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
    Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan)

  • Shu Kobayashi

    (Analytics & Innovation Department, Research & Development Group, SMS Co., Ltd., Tokyo 105-0011, Japan)

  • Nanako Tamiya

    (Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
    Health Services Research and Development Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan)

Abstract

During the COVID-19 pandemic, social interactions were restricted, including community services for disabled older adults. This study aimed to describe the change of use in community services related to long-term care insurance (LTCI) during the pandemic in Japan. A retrospective descriptive study was conducted using data collected via a cloud-based management support platform for older adult care provider “ Kaipoke ”, by a private-sector company “SMS Co., Ltd.”, in which care-managers of LTCI manage their office work. Data collection occurred from July 2019 to June 2020. Study subjects were LTCI service users aged 65 years and above. Subjects were living at home. We examined changes in the number of users of LTCI services before and after the COVID-19 pandemic began, using an interrupted time-series analysis. Results indicated that the use of outpatient services was reduced; however, home-visit services were maintained. The decrease in use was significant in the seven prefectures where the infection initially spread. There are concerns that older adults or surrounding caregivers can be affected by such changes in LTC service use. It is therefore necessary to implement sustainable measures from a long-term perspective and investigate their influence as part of future studies.

Suggested Citation

  • Tomoko Ito & Sachiko Hirata-Mogi & Taeko Watanabe & Takehiro Sugiyama & Xueying Jin & Shu Kobayashi & Nanako Tamiya, 2021. "Change of Use in Community Services among Disabled Older Adults during COVID-19 in Japan," IJERPH, MDPI, vol. 18(3), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1148-:d:488532
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    References listed on IDEAS

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    1. Ariel Linden, 2015. "Conducting interrupted time-series analysis for single- and multiple-group comparisons," Stata Journal, StataCorp LLC, vol. 15(2), pages 480-500, June.
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    1. Yuko Arai & Yukari Niwa & Takahiko Kusakabe & Kentaro Honma, 2023. "How has the Covid-19 pandemic affected wheelchair users? Time-series analysis of the number of railway passengers in Tokyo," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-13, December.
    2. Yujiro Kuroda & Taiki Sugimoto & Kenichi Satoh & Claudia K. Suemoto & Nanae Matsumoto & Kazuaki Uchida & Yoshinobu Kishino & Takashi Sakurai, 2022. "Factors Associated with Behavioral and Psychological Symptoms of Dementia during COVID-19," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    3. Meijiao Song & Jun Cai & Yisi Xue, 2023. "From Technological Sustainability to Social Sustainability: An Analysis of Hotspots and Trends in Residential Design Evaluation," Sustainability, MDPI, vol. 15(13), pages 1-19, June.

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