{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T16:45:18Z","timestamp":1773074718093,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T00:00:00Z","timestamp":1534896000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["17dk0110026h0001"],"award-info":[{"award-number":["17dk0110026h0001"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The present study aimed to examine the percentage of and risk factors for potentially avoidable hospitalizations (PAH), non\u2010PAH and in\u2010hospital deaths among residents of special nursing homes for the elderly (SNH) and geriatric health service facilities (GHSF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Long\u2010term care and national health insurance claims data (April 2012 to September 2013) were obtained from a suburban city in Chiba prefecture, Japan. Study participants were aged \u226575 years and resided in either SNH (<jats:italic>n<\/jats:italic> = 1138) or GHSF (<jats:italic>n<\/jats:italic> = 885). The PAH were defined using 17 medical condition groups, and the percentage of PAH, non\u2010PAH and in\u2010hospital deaths was identified, and associated factors were compared using multilevel logistic regression models for SNH and GHSF, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 34.5% SNH residents experienced any hospitalization, and this was composed of PAH (16.3%), non\u2010PAH (12.2%) or in\u2010hospital deaths (6.1%). Of the GHSF residents, 23.8% experienced any hospitalization, and this was comprised of PAH (9.5%), non\u2010PAH (10.6%) and in\u2010hospital death (3.7%). More than 70% of the PAH were related to respiratory infections, urinary tract infections or congestive heart failure. In both SNH and GHSF, artificial nutrition was positively associated with PAH and non\u2010PAHs, and male sex was positively associated with non\u2010PAHs and in\u2010hospital deaths. However, there were also discrepancies between SNH and GHSF in terms of risk factors for PAH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The percentage of PAH was higher in SNH than in GHSF, which might be related to their different personnel and managerial regulations. The linkage of health and long\u2010term care claims data might facilitate data\u2010based evidence on policy\u2010making. <jats:bold>Geriatr Gerontol Int 2018; 18: 1272\u20131279.<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13458","type":"journal-article","created":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T02:57:50Z","timestamp":1534993070000},"page":"1272-1279","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Potentially avoidable hospitalizations, non\u2010potentially avoidable hospitalizations and in\u2010hospital deaths among residents of long\u2010term care facilities"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2261-253X","authenticated-orcid":false,"given":"Boyoung","family":"Jeon","sequence":"first","affiliation":[{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Ibaraki Japan"},{"name":"Division of Health Service for the Disabled National Rehabilitation Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanako","family":"Tamiya","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Ibaraki Japan"},{"name":"Health Services Research &amp; Development Center University of Tsukuba  Tsukuba Ibaraki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Yoshie","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Ibaraki Japan"},{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"},{"name":"Department of Health Policy and Management, School of Medicine Keio University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-5681","authenticated-orcid":false,"given":"Katsuya","family":"Iijima","sequence":"additional","affiliation":[{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuro","family":"Ishizaki","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, Faculty of Medicine University of Tsukuba  Tsukuba Ibaraki Japan"},{"name":"Research Team for Human Care Tokyo Metropolitan Institute of Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,22]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Basic Document on Medical Insurance: Medical Expenses in 2014","author":"Ministry of Health Labour and Welfare","year":"2016"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.6.1753"},{"key":"e_1_2_7_4_1","unstructured":"WalshEG FreimanM HaberS et al.Cost drivers for dually eligible beneficiaries: potentially avoidable hospitalizations from nursing facility skilled nursing facility and home and community\u2010based services waiver programs final task 2 report. 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