{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T10:33:21Z","timestamp":1723113201002},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The present study investigated the association between the structure of catheter replacement services in home medical care settings and regional characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An anonymous self\u2010administered questionnaire was carried out from August to September 2013. Participants were physicians from 5338 clinics that provided medical care services at home, and nurses from 1619 home\u2010visit nursing stations in Tokyo and three adjoining prefectures. The questionnaire covered catheter replacement (gastrostomy tubes, nasogastric tubes, tracheal cannulas) during home medical care, and the professions of those who replaced urethral catheters for male and female patients. Regions were divided into two groups (higher\u2010 and lower\u2010density regions) based on the number of clinics, number of home\u2010visit nursing stations and the ratio of the population aged \u226565\u2009years. The rates of respondents that reported catheter replacement was usually executed, and those who reported catheters were replaced by \u201cphysicians in principle\u201d were compared between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Responses were received from 842 clinics (16.3%) and 499 home\u2010visit nursing stations (31.4%). In the higher\u2010density regions, the rate of physicians who reported urethral catheters for male patients were replaced by \u201cphysicians in principle\u201d was significantly higher than in the lower\u2010density regions (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). In the lower\u2010density regions, the rate of nurses who reported urethral catheters for male patients were replaced by \u201cnurses in principle\u201d was significantly higher compared with the higher\u2010density regions (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.016).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In home medical care settings, urethral catheters for male patients are replaced by nurses in regions where physician resources are limited. <jats:bold>Geriatr Gerontol Int 2017; 17: 628\u2013636<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.12769","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T04:05:38Z","timestamp":1466654738000},"page":"628-636","source":"Crossref","is-referenced-by-count":3,"title":["Catheter replacement structure in home medical care settings and regional characteristics in Tokyo and three adjoining prefectures"],"prefix":"10.1111","volume":"17","author":[{"given":"Takuma","family":"Kimura","sequence":"first","affiliation":[{"name":"Department of General Medicine Kitasato University School of Medicine  Kanagawa Japan"},{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Yoshie","sequence":"additional","affiliation":[{"name":"Neighborhood Care  Chiba Japan"},{"name":"Center for Home Care Medicine, Faculty of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rumiko","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Division of Health Science and Nursing, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohei","family":"Kawagoe","sequence":"additional","affiliation":[{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"},{"name":"Aozora Clinic  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Hirahara","sequence":"additional","affiliation":[{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"},{"name":"Center for Home Care Kajiwara Clinic  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuya","family":"Iijima","sequence":"additional","affiliation":[{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Akahoshi","sequence":"additional","affiliation":[{"name":"Department of General Medicine Kitasato University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuo","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnr143"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/46.1.33"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00415-9"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03335.x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2012.01431.x"},{"key":"e_1_2_12_7_1","first-page":"593","article-title":"Regional differences in the numbers of emergency medical doctors and emergency medical institutions in Japan","volume":"15","author":"Mizuno J","year":"2004","journal-title":"JAAM"},{"issue":"4","key":"e_1_2_12_8_1","first-page":"482","article-title":"Community differences in care service resources and service use among the disabled elderly, empirical analyses of receipt data of long\u2010term care insurance","volume":"34","author":"Kikuzawa S","year":"2013","journal-title":"Jpn J Gerontol"},{"key":"e_1_2_12_9_1","first-page":"487","article-title":"Comparison of emergency medical service between rural area Tottori and capital city Tokyo","volume":"13","author":"Tsubouchi I","year":"2010","journal-title":"JSEM"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1265\/jjh.59.342"},{"key":"e_1_2_12_11_1","unstructured":"Institute for Health Economics and Policy.Cross\u2010sectional survey on users of medical\u2010 and nursing care facilities. 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