A cross-sectional survey of consistent rehabilitation through long-term care insurance in Japan : a questionnaire survey
Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc..
There seems to be a lack of consistency of maintenance/community-based rehabilitation through long-term care insurance. We aimed to clarify whether consistent rehabilitation can be performed through long-term care insurance by questionnaires.
Materials and Methods: This study was a cross-sectional study in a nationwide survey among rehabilitation staff and care recipients who completed disease-specific rehabilitation and required maintenance/community-based rehabilitation through long-term care insurance. Consistency of rehabilitation was compared using Fisher's exact tests. The concordance of the rehabilitation evaluation and treatment conducted under medical and long-term care insurance was assessed using the κ coefficient.
Results: Six hundred questionnaires from care recipients and staff were analyzed. Of the rehabilitation staff, 264 (44%) obtained rehabilitation plans from medical institutions. There was a significant difference between the responses of "referral from the same medical corporation" and "obtaining the rehabilitation plan" by Fisher's exact test (odds ratio: 3.242; P<0.001). Most rehabilitation treatments under medical insurance comprised walking or training with parallel rods/canes [498 patients (83%)], and 454 patients (76%) received stretching and range-of-motion training for the limbs and spine for long-term care insurance. Muscle strength evaluation was the most frequently conducted under medical and long-term care insurance [383 (73%) and 487 (83%), respectively]. The concordance of the evaluation and treatment content, except for disease-specific evaluation, was low (κ coefficient≤0.6).
Conclusions: The rate of provision of rehabilitation plans was low, and evaluation and treatment content under medical and long-term care insurance was inconsistent. Our results draw attention to the need for consistent rehabilitation plans between disease-specific and maintenance/community-based rehabilitation.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:85 |
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| Enthalten in: |
Annals of medicine and surgery (2012) - 85(2023), 1 vom: 29. Jan., Seite 17-23 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Asaeda, Makoto [VerfasserIn] |
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| Links: |
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| Themen: |
Aged |
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| Anmerkungen: |
Date Revised 07.02.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1097/MS9.0000000000000199 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM352521333 |
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| 100 | 1 | |a Asaeda, Makoto |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A cross-sectional survey of consistent rehabilitation through long-term care insurance in Japan |b a questionnaire survey |
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| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. | ||
| 520 | |a There seems to be a lack of consistency of maintenance/community-based rehabilitation through long-term care insurance. We aimed to clarify whether consistent rehabilitation can be performed through long-term care insurance by questionnaires | ||
| 520 | |a Materials and Methods: This study was a cross-sectional study in a nationwide survey among rehabilitation staff and care recipients who completed disease-specific rehabilitation and required maintenance/community-based rehabilitation through long-term care insurance. Consistency of rehabilitation was compared using Fisher's exact tests. The concordance of the rehabilitation evaluation and treatment conducted under medical and long-term care insurance was assessed using the κ coefficient | ||
| 520 | |a Results: Six hundred questionnaires from care recipients and staff were analyzed. Of the rehabilitation staff, 264 (44%) obtained rehabilitation plans from medical institutions. There was a significant difference between the responses of "referral from the same medical corporation" and "obtaining the rehabilitation plan" by Fisher's exact test (odds ratio: 3.242; P<0.001). Most rehabilitation treatments under medical insurance comprised walking or training with parallel rods/canes [498 patients (83%)], and 454 patients (76%) received stretching and range-of-motion training for the limbs and spine for long-term care insurance. Muscle strength evaluation was the most frequently conducted under medical and long-term care insurance [383 (73%) and 487 (83%), respectively]. The concordance of the evaluation and treatment content, except for disease-specific evaluation, was low (κ coefficient≤0.6) | ||
| 520 | |a Conclusions: The rate of provision of rehabilitation plans was low, and evaluation and treatment content under medical and long-term care insurance was inconsistent. Our results draw attention to the need for consistent rehabilitation plans between disease-specific and maintenance/community-based rehabilitation | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a community health services | |
| 650 | 4 | |a questionnaires | |
| 650 | 4 | |a rehabilitation medicine | |
| 650 | 4 | |a surveys | |
| 700 | 1 | |a Mikami, Yukio |e verfasserin |4 aut | |
| 700 | 1 | |a Nishimura, Yukihide |e verfasserin |4 aut | |
| 700 | 1 | |a Shimokawa, Toshio |e verfasserin |4 aut | |
| 700 | 1 | |a Shinohara, Hiroshi |e verfasserin |4 aut | |
| 700 | 1 | |a Kawasaki, Takashi |e verfasserin |4 aut | |
| 700 | 1 | |a Kouda, Ken |e verfasserin |4 aut | |
| 700 | 1 | |a Ogawa, Takahiro |e verfasserin |4 aut | |
| 700 | 1 | |a Okawa, Hiroyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Uenishi, Hiroyasu |e verfasserin |4 aut | |
| 700 | 1 | |a Kuroda, Rumi |e verfasserin |4 aut | |
| 700 | 1 | |a Mikami, Yasuo |e verfasserin |4 aut | |
| 700 | 1 | |a Tajima, Fumihiro |e verfasserin |4 aut | |
| 700 | 1 | |a Kubo, Toshikazu |e verfasserin |4 aut | |
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