Resident and facility characteristics associated with the site of death among Japanese nursing home residents

The nursing home versus the hospital as the place of dying for nursing home residents in Japan

“…The variables chosen were determined to be pertinent based on the literature [12,[16][17][18][19]24,25] and the authors' own clinical experiences. All records from the nursing home were reviewed by the first author (Takezako) to obtain information in the following domains: demography, the family decision-maker, health condition, resident and family preference for nursing home end-of-life care, presence of a full-time physician, and admission after LTCI.…”

“…A few reports [12,24] on the predictors of dying in a nursing home versus a hospital in Japan have been published. Progressive frailty [12,24], the actual visit of nurses outside work hours [24], physicians on call at night [24], and family preference [24] were significantly related to dying in nursing homes.…”

“…Progressive frailty [12,24], the actual visit of nurses outside work hours [24], physicians on call at night [24], and family preference [24] were significantly related to dying in nursing homes. Both these studies were limited in that they were mail surveys with relatively low response rates (33% and 56%).…”

“…Both these studies were limited in that they were mail surveys with relatively low response rates (33% and 56%). Another limitation was that the preference for end-of-life was defined by the nursing home staff, based on speculations after death [24]. Therefore, it is still unclear why nursing home residents are unable to stay where they are during the end-of-life period in Japan.…”

Administrators’ perspectives on end-of-life care for cancer patients in Japanese long-term care facilities

“…As decision makers in medical facilities, administrators influence the quality of care that is provided by those facilities [7,17]. Little is known, however, about administrators' perspectives on EOL care for cancer patients in long-term care facilities and residential homes in Japan.…”