Feasibility of home visit by nurses with higher palliative care specialty with visiting nurses in Japan : Analysis of nationwide distribution and geographical associations

Shimizu Junichi, Osanai Sayuri

doi:10.24531/jhsaiih.16.4_177

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Other Title

緩和ケアに関して専門性の高い看護師が行う訪問看護師との同行訪問の実施可能性 : 国内分布と地理的関連性の分析
カンワケアニカンシテセンモンセイノタカイカンゴシガオコナウホウモンカンゴシトノドウコウホウモンノジッシカノウセイ : コクナイブンプトチリテキカンレンセイノブンセキ

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Abstract

Background : The purpose of this study was to examine the feasibility of home visit by nurses with higher palliative care specialty (NHPCS) with visiting nurses, which became covered by Japanese national medical insurance system in 2012, using a geographical information system (GIS). Methods : We examined the distribution of NHPCS among prefectures and the association between the number of NHPCS and the location of the training institutions. Furthermore, in the prefectures with a small number of NHPCS, the geographical associations between the hospitals to which the NHPCS belonged and the home visiting nursing centers are analyzed by MANDARA Results : The distribution of NHPCS per aging population differed by 2.6-fold among the prefectures, and the number of NHPCS was higher in prefectures with a high admission capacity into certified nurse training courses relevant to cancer. In the prefectures with a small number of NHPCS, the percentage of cases in which the hospital to which the NHPCS belonged was not within a 10 km radius of the home visit nursing center was high. Discussion : From this analysis performed using the GIS, the uneven distribution of NHPCS and home visit nursing stations, and their geographical association became clear. Elimination of disparities in both human resources and training institutions among and also within prefectures is recommended.

Journal

The Journal of Japan Academy of Health Sciences

The Journal of Japan Academy of Health Sciences 16 (4), 177-183, 2014

Japan Academy of Health Sciences

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