Factors associated with the introduction of visiting‐pharmacist services in older adults in Japan: A nested case–control study

Aim To investigate the factors associated with introducing visiting‐pharmacist services for community‐dwelling older adults in Japan. Methods We conducted a nested case–control study using claims data in a cohort from a city in Tokyo. Patients aged ≥65 years who received visiting‐pharmacist services...

Full description

Saved in:
Bibliographic Details
Published in:Geriatrics & gerontology international 2024-04, Vol.24 (4), p.344-351
Main Authors: Taguchi, Reina, Hamada, Shota, Michihata, Nobuaki, Tsuchiya‐Ito, Rumiko, Kitamura, Satomi, Ishikawa, Tomoki, Iwagami, Masao
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cancer
Case-Control Studies
Chronic illnesses
claims data
community health care
community pharmacists
Female
Health care access
Health services utilization
Home health care
home visits
Hospitalization
Humans
Japan
Long-Term Care
Male
Nursing
Older people
Pharmacists
Polypharmacy
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aim To investigate the factors associated with introducing visiting‐pharmacist services for community‐dwelling older adults in Japan. Methods We conducted a nested case–control study using claims data in a cohort from a city in Tokyo. Patients aged ≥65 years who received visiting‐pharmacist services for the first time between April 2014 and March 2020 were considered case patients. A maximum of four controls to each case patient were randomly selected on the basis of sex, age, health insurance systems, and month–year. Medical and long‐term care service usage and patient condition were assessed using claims data from the index and preceding months, along with long‐term care needs certification data. Multivariable conditional logistic regression analysis was conducted to estimate the adjusted odds ratios with 95% confidence intervals for factors associated with visiting‐pharmacist service introduction. Results A total of 22 949 participants (4591 cases and 18 358 controls) were included, with a median age of 85 years; 59.3% were women. The adjusted odds ratios (95% confidence intervals) of the three most related factors were 27.61 (23.98–31.80) for physicians' home visits, 5.83 (5.08–6.70) for hospitalization, and 4.97 (4.16–5.95) for designated‐facility admission. Factors such as prescribing ≧10 medications, visiting nursing, and cancer were positively associated. In contrast, low household income and a high need for support due to cognitive function or disability were negatively associated. Conclusions This study provides insights into the introduction of visiting‐pharmacist services for older adults in Japan. Geriatr Gerontol Int 2024; 24: 344–351. This study examined the factors associated with introducing visiting‐pharmacist services using claims data from a community‐dwelling older population in Japan. Physicians' home visits, hospitalizations, and residential‐facility admissions were strongly associated, and the findings contribute to a better understanding of the current situation regarding the introduction of visiting‐pharmacist services.
ISSN:1444-1586
1447-0594
DOI:10.1111/ggi.14838