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Association between local-level resources for home care and home deaths: A nationwide spatial analysis in Japan

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  • Noriko Morioka
  • Jun Tomio
  • Toshikazu Seto
  • Yoshie Yumoto
  • Yasuko Ogata
  • Yasuki Kobayashi

Abstract

Aim: Little is known about whether and how local-level resources regarding home care are associated with the prevalence of home deaths. We aimed to investigate whether geographic patterns of the resources for home care were associated with the prevalence of home deaths, taking spatial variation into consideration. Methods: We conducted an ecological cross-sectional study in Japan using nationwide data in 2014. The areal unit was the municipality, the smallest administrative unit in Japan. We investigated the association between the percentage of home deaths and the resources of home care support clinics with available 24-hour-a-day functions, considering the geographic effect of neighboring municipalities by applying a geographically weighted regression model. Results: The mean and standard deviation of the percentages of home deaths were 11.4% (5.0%), and those of the number of home care support clinics per 10,000 elderly population were 3.4 (3.7). The percentages of home deaths in neighboring municipalities tended to be significantly correlated (Moran’s I 0.34, p

Suggested Citation

  • Noriko Morioka & Jun Tomio & Toshikazu Seto & Yoshie Yumoto & Yasuko Ogata & Yasuki Kobayashi, 2018. "Association between local-level resources for home care and home deaths: A nationwide spatial analysis in Japan," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-13, August.
    • Handle: RePEc:plo:pone00:0201649
    DOI: 10.1371/journal.pone.0201649
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    References listed on IDEAS

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    1. Hanaoka, Chie & Norton, Edward C., 2008. "Informal and formal care for elderly persons: How adult children's characteristics affect the use of formal care in Japan," Social Science & Medicine, Elsevier, vol. 67(6), pages 1002-1008, September.
    2. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    3. Mary Margaret Ford & Linda D Highfield, 2016. "Exploring the Spatial Association between Social Deprivation and Cardiovascular Disease Mortality at the Neighborhood Level," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-17, January.
    4. Grande, G. E. & Addington-Hall, J. M. & Todd, C. J., 1998. "Place of death and access to home care services: are certain patient groups at a disadvantage?," Social Science & Medicine, Elsevier, vol. 47(5), pages 565-579, September.
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