{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T10:04:01Z","timestamp":1793095441773,"version":"4.5.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/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":["16dk0207024h0001"],"award-info":[{"award-number":["16dk0207024h0001"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"name":"JSPS KAKENHI","award":["Grant-in-Aid for Young Scientists (B), JP15K20796"],"award-info":[{"award-number":["Grant-in-Aid for Young Scientists (B), JP15K20796"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Avoiding inappropriate care transition and enabling people with chronic diseases to die at home have become important health policy issues. Availability of palliative home care services may be related to dying at home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>After controlling for the presence of hospital beds and primary care physicians, we examined the association between availability of home palliative care services and dying at home in conditions requiring such services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Death certificate data in Japan in 2016 were linked with regional healthcare statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>All adults (18\u2009years or older) who died from conditions needing palliative care in 2016 in Japan were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 922,756 persons included for analysis. Malignant neoplasm (37.4%) accounted for most decedents, followed by heart disease including cerebrovascular disease (31.4%), respiratory disease (14.7%) and dementia\/Alzheimer\u2019s disease\/senility (11.5%). Of decedents, 20.8% died at home or in a nursing home and 79.2% died outside home (hospital\/geriatric intermediate care facility). Death at home was more likely in health regions with fewer hospital beds and more primary care physicians, in total and per condition needing palliative care. Number of home palliative care services was negatively associated with death at home. The adjustment for home palliative care services disappeared in heart disease including cerebrovascular disease and reversed in respiratory disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Specialised home palliative care services may be suboptimal, and primary care services may serve as a key access point in providing baseline palliative care to people with conditions needing palliative care. Therefore, primary care services should aim to enhance their palliative care workforce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269216319896517","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T05:26:36Z","timestamp":1579757196000},"page":"504-512","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Availability of home palliative care services and dying at home in conditions needing palliative care: A population-based death certificate study"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6200-9279","authenticated-orcid":false,"given":"Miharu","family":"Nakanishi","sequence":"first","affiliation":[{"name":"Mental Health and Nursing Research Team, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asao","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Exploratory Oncology Research and Clinical Trial Center, National Cancer Center Hospital East, Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Nishida","sequence":"additional","affiliation":[{"name":"Mental Health Promotion Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,1,23]]},"reference":[{"key":"bibr1-0269216319896517","volume-title":"Palliative care for older people: better practices","author":"Hall S","year":"2011"},{"key":"bibr2-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-12-7"},{"key":"bibr3-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313512012"},{"key":"bibr4-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311432329"},{"key":"bibr5-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-012-0394-5"},{"key":"bibr6-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.175"},{"key":"bibr7-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.207624"},{"key":"bibr8-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzw060"},{"key":"bibr9-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb04540.x"},{"key":"bibr10-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02771.x"},{"key":"bibr11-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2015.312"},{"key":"bibr12-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317743961"},{"key":"bibr13-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315576309"},{"key":"bibr14-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02678-7"},{"key":"bibr15-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1089\/109662103322515220"},{"key":"bibr16-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01234.x"},{"key":"bibr17-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0265"},{"key":"bibr18-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1177\/0269216312442973"},{"key":"bibr19-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60828-3"},{"issue":"1","key":"bibr20-0269216319896517","first-page":"6","volume":"58","author":"Ohta H.","year":"2015","journal-title":"Japan Med Assoc J"},{"key":"bibr21-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0201649"},{"key":"bibr22-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2015.01.007"},{"key":"bibr23-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30172-X"},{"key":"bibr24-0269216319896517","unstructured":"Ministry of Health, Labour, and Welfare. Vital statistics survey death form, http:\/\/www.mhlw.go.jp\/english\/database\/db-hw\/outline\/dl\/index-b.pdf (accessed 15 October 2018)."},{"key":"bibr25-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313489367"},{"key":"bibr26-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-017-0860-2"},{"key":"bibr27-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.09.011"},{"key":"bibr28-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-205365"},{"key":"bibr29-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1038\/s41533-017-0017-y"},{"key":"bibr30-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.02.024"},{"key":"bibr31-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-011-1373-8"},{"key":"bibr32-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdr602"},{"key":"bibr33-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2015.02.020"},{"key":"bibr34-0269216319896517","unstructured":"Minister\u2019s Secretariat, Ministry of Health, Labour and Welfare. Report on opinion survey regarding end of life care, 2008, https:\/\/www.mhlw.go.jp\/stf\/shingi\/2r9852000000yp23-att\/2r9852000000ypwi.pdf (accessed 8 October 2019)."},{"key":"bibr35-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.18.2387"},{"key":"bibr36-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.04.007"},{"key":"bibr37-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdq719"},{"key":"bibr38-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2012.01.004"},{"key":"bibr39-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28628"},{"key":"bibr40-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.03.032"},{"key":"bibr41-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0347"},{"key":"bibr42-0269216319896517","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afw019"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216319896517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269216319896517","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216319896517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:29:27Z","timestamp":1777660167000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269216319896517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,23]]},"references-count":42,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1177\/0269216319896517"],"URL":"https:\/\/doi.org\/10.1177\/0269216319896517","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,23]]}}}