{"created":"2021-03-01T07:26:37.751752+00:00","id":46691,"links":{},"metadata":{"_buckets":{"deposit":"0ad563fe-e69c-4195-a8a6-bee78c9386fb"},"_deposit":{"id":"46691","owners":[],"pid":{"revision_id":0,"type":"depid","value":"46691"},"status":"published"},"_oai":{"id":"oai:tsukuba.repo.nii.ac.jp:00046691","sets":["2780:1750","3:62:5589:3190"]},"item_5_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-05","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"766","bibliographicPageStart":"758","bibliographicVolumeNumber":"18","bibliographic_titles":[{"bibliographic_title":"Geriatrics & gerontology international"}]}]},"item_5_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田宮, 菜奈子"}],"nameIdentifiers":[{},{},{}]}]},"item_5_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Aim\nTo determine the resident and facility characteristics associated with residents’ care‐need level deterioration in long‐term care welfare facilities in Japan.\nMethods\nA nationally representative sample of 358 886 residents who lived in 3774 long‐term care welfare facilities for at least 1 year from October 2012 was obtained from long‐term care insurance claims data. Facility characteristics were linked with a survey of institutions and establishments for long‐term care in 2012. We used a multilevel logistic regression according to the inclusion and exclusion of lost to follow‐up to define the resident and facility characteristics associated with resident care‐need level deteriorations (lost to follow‐up: the majority were hospitalized residents or had died; were treated as deterioration in the including loss to follow‐up model).\nResults\nAdjusting for the covariates, at the resident level, older age and lower care‐need level at baseline were more likely to show deterioration in the care‐need level. At the facility level, metropolitan facilities, unit model (all private room settings) and mixed‐model facilities (partly private room settings) were less likely to experience care‐need level deterioration. A higher proportion of registered nurses among all nurses was negatively related to care‐need level deterioration only in the model including lost to follow‐up. A higher proportion of registered dietitians among all dietitians and the facilities in business for fewer years were negatively associated with care‐need level deterioration only in the model excluding lost to follow‐up.\nConclusions\nThe present study could help identify residents who are at risk of care‐need level deterioration, and could contribute to improvements in provider quality performance and enhance competence in the market. Geriatr Gerontol Int 2018; 18: 758–766.\n","subitem_description_type":"Abstract"}]},"item_5_publisher_27":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Wiley"}]},"item_5_relation_10":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"29356311","subitem_relation_type_select":"PMID"}}]},"item_5_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1111/ggi.13248","subitem_relation_type_select":"DOI"}}]},"item_5_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2018 The Authors Geriatrics & Gerontology International published by John Wiley & Sons Australia, Ltd on behalf of Japan Geriatrics Society This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes."}]},"item_5_select_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_5_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1444-1586","subitem_source_identifier_type":"ISSN"}]},"item_5_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA1155729X","subitem_source_identifier_type":"NCID"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Jin, Xueying"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tamiya, Nanako"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Jeon, Boyoung"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kawamura, Akira"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takahashi, Hideto"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Noguchi, Haruko"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-06-14"}],"displaytype":"detail","filename":"GGI_46-18-5.pdf","filesize":[{"value":"210.0 kB"}],"format":"application/pdf","licensetype":"license_9","mimetype":"application/pdf","url":{"label":"GGI_46-18-5","url":"https://tsukuba.repo.nii.ac.jp/record/46691/files/GGI_46-18-5.pdf"},"version_id":"d6ab61e2-9f55-4c4d-8ed9-6b97b06ea125"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Resident and facility characteristics associated with care-need level deterioration in long-term care welfare facilities in Japan","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Resident and facility characteristics associated with care-need level deterioration in long-term care welfare facilities in Japan"}]},"item_type_id":"5","owner":"1","path":["1750","3190"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-06-14"},"publish_date":"2018-06-14","publish_status":"0","recid":"46691","relation_version_is_last":true,"title":["Resident and facility characteristics associated with care-need level deterioration in long-term care welfare facilities in Japan"],"weko_creator_id":"1","weko_shared_id":5},"updated":"2022-04-27T09:18:46.007403+00:00"}