Home Visiting Nurse Service Duration and Factors Related to Institution Admission

Takashi Naruse, Mahiro Fujisaki-Sakai, Satoko Nagata

Research output: Contribution to journalArticlepeer-review


To empirically measure the quality of home visiting nursing (HVN) agencies in Japan, we longitudinally observed the duration of clients’ HVN use and identified the factors correlated with hospitalization/institutionalization. Medical and long-term care insurance data were analyzed from 1,722 persons with disabilities aged at least 75 years who began using an HVN. At the 12-month follow-up, 67.7% of clients were no longer using the HVN; among these, 48.9% were hospitalized/institutionalized and 23.6% had died. Cox regression analysis showed that risk of hospitalization/institutionalization in HVN agencies depends on client characteristics at service commencement. Measuring the quality of HVN agencies by weighting clients’ characteristics as risk factors for hospitalization and/or institutionalization may be appropriate.

Original languageEnglish
Pages (from-to)46-52
Number of pages7
JournalHome Health Care Management and Practice
Issue number1
Publication statusPublished - 2017 Feb 1
Externally publishedYes


  • claim data analysis
  • hospitalization
  • institutionalization
  • long-term care
  • nursing
  • risk-adjusted evaluation

ASJC Scopus subject areas

  • Leadership and Management
  • Community and Home Care
  • Public Health, Environmental and Occupational Health


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