ミタデラ　ユウジ   
  三田寺　裕治
   所属   淑徳大学  総合福祉学部 社会福祉学科
   職種   教授
言語種別 英語
発行・発表の年月 2015/05
形態種別 学術論文
標題 Dialysis Patients'Utilization of Health CareServices Covered by Long-Term Care Insurance in Japan
執筆形態 共著
掲載誌名 The Tohoku Journal of Experimental Medicine(TJEM)
掲載区分国外
巻・号・頁 pp.9-19
著者・共著者 Utako Shimizu.Yuji Mitadera.Hagiko Aoki.Kouhei Akazawa
概要 We also calculated the annual transportation service costs per patient for dialysis patients who continued home care (home care group) and those who switched to long-term hospital care at LTCI care levels 4 and 5 (hospital admission group). These care levels indicate difficulty in walking or maintaining a sitting posture without assistance. The dialysis group more frequently utilized home care and equipment services, such as renting or purchasing care-support products and support for home equipment repair, and utilized facility services and short-stay services (respite care) less frequently (both p < 0.001). Cost per patient was higher in the home care group than in the hospital admission group, because the transportation services for dialysis patients at care levels 4 and 5 involve higher costs. These findings indicate that LTCI services usable for dialysis patients were limited.