| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 4198890 | Health Policy | 2007 | 9 Pages |
ObjectivesTo determine the characteristics of nursing home residents that are associated with dying in a nursing home versus a hospital in Japan.DesignRetrospective case–control study.SettingA nonprofit nursing home with 110 beds in Tokyo, Japan.ParticipantsEighty-six nursing home residents who died in the nursing home (n = 43) or in a hospital (n = 43) between 1 April 1999 and 30 September 2004.MeasurementsNursing home records were reviewed to gain information regarding the following domains: demography, the family decision-maker, health status, resident and family preference for nursing home end-of-life care, and presence of a full-time physician.ResultsThe variables older age [adjusted odds ratio (adjusted OR) = 1.08, 95% confidence interval (95% CI) = 1.01–1.17], the family decision-maker's preference for nursing home end-of-life care (adjusted OR = 3.95, 95% CI = 1.21–12.84), and presence of a full-time physician (adjusted OR = 3.74, 95% CI = 1.03–13.63) were associated with dying in the nursing home.ConclusionOlder age, the family's preference for nursing home end-of-life care, and the presence of a full-time physician were significantly related to dying in the nursing home versus in a hospital.
