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Song              P            ,               Tang              W            . The community-based integrated care system in            Japan: Health care and nursing care challenges posed by super-aged            society. Biosci Trends 2019;            13: 279\u2013281.","DOI":"10.5582\/bst.2019.01173"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2.               Tsutsui              T            . Implementation process and challenges for the            community-based integrated care system in Japan. Int J Integr            Care 2014; 14: e002.","DOI":"10.5334\/ijic.988"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3.               Morikawa              M            . Towards community-based integrated care: trends            and issues in Japan\u2019s long-term care policy. Int J Integr            Care 2014; 14: e005.","DOI":"10.5334\/ijic.1066"},{"key":"4","unstructured":"4. Ministry of Health,          Labor and Welfare in Japan. Medical fee revision in FY 2014. I https:\/\/www.mhlw.go.jp\/file\/06-Seisakujouhou-12400000-Hokenkyoku\/0000039380.pdf.          (Accessed November 10, 2020)"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5.               Otsubo              T            ,               Imanaka              Y            . [Readmission rate for health care delivery system            assessment]. Nippon Eiseigaku Zasshi 2012;            67: 62\u201366(in          Japanese).","DOI":"10.1265\/jjh.67.62"},{"key":"6","unstructured":"6.               Akao              K            ,               Watanabe              S            ,               Yagi              M            , et al. Impact of prehospitalization            exercise habits and outpatient cardiac rehabilitation on cardiac readmissions in            patients with cardiac disease. JJCR 2018;            24: 219\u2013225(in            Japanese)."},{"key":"7","doi-asserted-by":"crossref","unstructured":"7.               Wasfy              JH            ,               Zigler              CM            ,               Choirat              C            , et al. Readmission rates after            passage of the hospital readmissions reduction program: a pre-post            analysis. Ann Intern Med 2017;            166: 324\u2013331.","DOI":"10.7326\/M16-0185"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8.               Shah              T            ,               Churpek              MM            ,               Coca Perraillon              M            , et al. Understanding why patients            with COPD get readmitted: a large national study to delineate the Medicare population            for the readmissions penalty expansion.            Chest 2015; 147:            1219\u20131226.","DOI":"10.1378\/chest.14-2181"},{"key":"9","doi-asserted-by":"publisher","unstructured":"9.               Dharmarajan              K            ,               Hsieh              AF            ,               Lin              Z            , et al. Diagnoses and timing of            30-day readmissions after hospitalization for heart failure, acute myocardial            infarction, or pneumonia. JAMA 2013;            309: 355\u2013363.","DOI":"10.1001\/jama.2012.216476"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10.               Tsuchihashi              M            ,               Tsutsui              H            ,               Kodama              K            , et al. Clinical characteristics and            prognosis of hospitalized patients with congestive heart failure\u2014a study in Fukuoka,            Japan. Jpn Circ J 2000;          64: 953\u2013959.","DOI":"10.1253\/jcj.64.953"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11.               Fonarow              GC            ,               Smith              EE            ,               Reeves              MJ            , et al. Get with the Guidelines            Steering Committee and HospitalsHospital-level variation in            mortality and rehospitalization for medicare beneficiaries with acute ischemic            stroke. Stroke 2011; 42:            159\u2013166.","DOI":"10.1161\/STROKEAHA.110.601831"},{"key":"12","unstructured":"12. Hamada city, Shimane prefecture. Hamada City          Elderly Welfare Plan 2018. http:\/\/www.city.hamada.shimane.jp\/www\/contents\/1515298832835\/simple\/koureisyahukusikeikeikaku_an.pdf.          (Accessed November 29, 2020)"},{"key":"13","unstructured":"13. Cabinet Office, Government of            Japan The present and future situation of aging. https:\/\/www8.cao.go.jp\/kourei\/whitepaper\/w-2020\/zenbun\/pdf\/1s1s_04.pdf.          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Akita              K            ,               Kohno              T            ,               Kohsaka              S            , et al. West Tokyo Heart Failure            Registry InvestigatorsPrognostic impact of previous            hospitalization in acute heart failure patients. Circ            J 2019; 83:            1261\u20131268.","DOI":"10.1253\/circj.CJ-18-1087"},{"key":"20","doi-asserted-by":"crossref","unstructured":"20.               Arbaje              AI            ,               Wolff              JL            ,               Yu              Q            , et al. Postdischarge environmental            and socioeconomic factors and the likelihood of early hospital readmission among            community-dwelling Medicare beneficiaries.            Gerontologist 2008; 48:            495\u2013504.","DOI":"10.1093\/geront\/48.4.495"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21.               Mahoney              JE            ,               Eisner              J            ,               Havighurst              T            , et al. Problems of older adults            living alone after hospitalization. J Gen Intern            Med 2000; 15:            611\u2013619.","DOI":"10.1046\/j.1525-1497.2000.06139.x"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22.               Silverstein              MD            ,               Qin              H            ,               Mercer              SQ            , et al. Risk factors for 30-day            hospital readmission in patients \u226565 years of age. Proc Bayl            Univ Med Cent 2008; 21:            363\u2013372.","DOI":"10.1080\/08998280.2008.11928429"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23.               Jankowska-Pola\u0144ska              B            ,               \u015awi\u0105toniowska-Lonc              N            ,               S\u0142awuta              A            , et al. Patient-reported compliance            in older age patients with chronic heart failure. PLoS            One 2020; 15: e0231076.","DOI":"10.1371\/journal.pone.0231076"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24.               Rosen              OZ            ,               Fridman              R            ,               Rosen              BT            , et al. Medication adherence as a            predictor of 30-day hospital readmissions. Patient Prefer            Adherence 2017; 11:            801\u2013810.","DOI":"10.2147\/PPA.S125672"},{"key":"25","doi-asserted-by":"crossref","unstructured":"25.               Lin              FO            ,               Luk              JK            ,               Chan              TC            , et al. Effectiveness of a discharge            planning and community support programme in preventing readmission of high-risk older            patients. Hong Kong Med J 2015;            21: 208\u2013216.","DOI":"10.12809\/hkmj144304"},{"key":"26","doi-asserted-by":"crossref","unstructured":"26.               Coleman              EA            ,               Parry              C            ,               Chalmers              S            , et al. The care transitions            intervention: results of a randomized controlled trial. Arch            Intern Med 2006; 166:            1822\u20131828.","DOI":"10.1001\/archinte.166.17.1822"},{"key":"27","doi-asserted-by":"crossref","unstructured":"27.               Le Berre              M            ,               Maimon              G            ,               Sourial              N            , et al. Impact of transitional care            services for chronically ill older patients: a systematic evidence            review. 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