{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:01:15Z","timestamp":1790269275736,"version":"4.1.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100020685","name":"Japan Hospice Palliative Care Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020685","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Expanding non-hospital end-of-life care and clarifying associated cost structures remain major challenges in Japan. This exploratory study examined public insurance costs for patients with cancer receiving end-of-life care in hospice residential facilities (HRFs). Retrospective data and supplementary estimations for eight patients showed that the mean daily costs were JPY 32635 during the month before death and JPY 38642 during the month of death. In comparison, the national reimbursement rates for palliative care units are JPY 51350 per day for Days 1\u201330 and JPY 45820 per day for Days 31\u201360. These findings suggest that public insurance expenditures in HRFs may be lower than the benchmark reimbursement level for palliative care units. However, comparisons should be interpreted cautiously because HRFs rely on multiple home-visit services and exclude non-medical expenses, including housing and utility costs.<\/jats:p>","DOI":"10.1093\/jjco\/hyag164","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:49:55Z","timestamp":1788954595000},"source":"Crossref","is-referenced-by-count":0,"title":["Public insurance costs of end-of-life care in hospice residential facilities in Japan: an exploratory comparison with palliative care units"],"prefix":"10.1093","author":[{"given":"Tomoyo","family":"Sasahara","sequence":"first","affiliation":[{"name":"Department of Nursing, Ibaraki Prefectural University of Health Sciences , 4669-2 Ami, Ami-machi, Inashiki, Ibaraki 300-0394 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshie","family":"Ogasawara","sequence":"additional","affiliation":[{"name":"Quality Control Department, Family Hospice Inc. , 4F, Shin-Tokyo Building, 3-3-1 Marunouchi, Chiyoda-ku, Tokyo 100-0005 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0304-9881","authenticated-orcid":false,"given":"Jun","family":"Hamano","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Care, Institute of Medicine, University of Tsukuba , 1-1-1 Tennoudai, Tsukuba , Ibaraki 305-8575 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megumi","family":"Umeda","sequence":"additional","affiliation":[{"name":"Palliative Care Partners Co., Ltd. , 2-27-7 Shirokanedai, Minato-ku, Tokyo 108-0071 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Kizawa","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Care, Institute of Medicine, University of Tsukuba , 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8575 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"2026092412091883000_ref1","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1097\/SPC.0b013e3283612241","article-title":"Palliative care in Japan: a review focusing on care delivery system","volume":"7","author":"Morita","year":"2013","journal-title":"Curr Opin Support Palliat Care"},{"key":"2026092412091883000_ref2","volume-title":"Vital statistics of Japan in 2024 (e-Stat database)","author":"Ministry of Health, Labour and Welfare"},{"key":"2026092412091883000_ref3","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1007\/s00038-012-0394-5","article-title":"Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics","volume":"58","author":"Broad","year":"2013","journal-title":"Int J Public Health"},{"key":"2026092412091883000_ref4","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1007\/s00520-024-09074-1","article-title":"Social factors affecting home-based end-of-life care for patients with cancer and primary caregivers","volume":"33","author":"Hiramoto","year":"2025","journal-title":"Support Care Cancer"},{"key":"2026092412091883000_ref5","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1200\/JCO.2014.55.7355","article-title":"Place of death and the differences in patient quality of death and dying and caregiver burden","volume":"33","author":"Kinoshita","year":"2015","journal-title":"J Clin Oncol"},{"key":"2026092412091883000_ref6","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.jpainsymman.2015.01.007","article-title":"A Nationwide survey of quality of end-of-life cancer care in designated cancer centers, inpatient palliative care units, and home hospices in Japan: the J-HOPE study","volume":"50","author":"Miyashita","year":"2015","journal-title":"J Pain Symptom Manage"},{"key":"2026092412091883000_ref7","doi-asserted-by":"publisher","first-page":"5211","DOI":"10.1007\/s00520-022-06950-6","article-title":"Integrating home palliative care in oncology: a qualitative study to identify barriers and facilitators","volume":"30","author":"Hasegawa","year":"2022","journal-title":"Support Care Cancer"},{"key":"2026092412091883000_ref8","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1186\/s12877-021-02215-9","article-title":"Trajectories of end-of-life medical and long-term care expenditures for older adults in Japan: retrospective longitudinal study using a large-scale linked database of medical and long-term care claims","volume":"21","author":"Teraoka","year":"2021","journal-title":"BMC Geriatr"}],"container-title":["Japanese Journal of Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jjco\/advance-article-pdf\/doi\/10.1093\/jjco\/hyag164\/71382246\/hyag164.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jjco\/advance-article-pdf\/doi\/10.1093\/jjco\/hyag164\/71382246\/hyag164.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:09:22Z","timestamp":1790266162000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jjco\/advance-article\/doi\/10.1093\/jjco\/hyag164\/8833833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":8,"URL":"https:\/\/doi.org\/10.1093\/jjco\/hyag164","relation":{},"ISSN":["1465-3621"],"issn-type":[{"value":"1465-3621","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"hyag164"}}