Priority for Elderly Persons With Behavioral and Psychological Symptoms of Dementia on Waiting Lists for Placement in Nursing Homes in Japan: Do Nursing Homes Change Priorities Based on Their Own Guidelines?

Miharu Nakanishi, Keiko Hattori, Taeko Nakashima, Kanae Sawamura

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Objectives: In Japan, individuals seeking to be placed in nursing homes under the public long term care insurance program are subject to long waiting lists. Applicants are evaluated according to their needs for nursing home placement and assigned to homes based on their relative priority. The aim of the present study was to examine differences between the admission guidelines used by nursing homes and their attitudes regarding the priority for admitting elderly persons with behavioral and psychological symptoms of dementia (BPSD) from their waiting lists. Design: This study was conducted using a cross-sectional study design. Setting/Participants: Two hundred and eight different facilities provided sets of completed questionnaires and copies of their placement guidelines. Measurements: The managing director or social worker at each facility provided self-reports of whether they would increase the priority of applicants with BPSD and whether they would admit applicants who require treatment for BPSD. Each facility's placement guidelines were also collected. Results: Most evaluation guidelines (65.9%) considered an applicant's BPSD as a condition that required nursing home placement; however, only 16.8% of the respondents actually increased the placement priority of applicants with BPSD. Some respondents refused to admit applicants who require treatment for BPSD but did not explicitly state in their guidelines that the priority of applicants with BPSD would be reduced because of the facility's inability to address BPSD. Conclusion: The present study revealed differences between nursing homes' official guidelines and their attitudes toward the priority of admitting elderly persons with BPSD from their waiting lists. Future studies should explore the factors that influence the placement of individuals with BPSD into nursing homes.

Original languageEnglish
Pages (from-to)794-799
Number of pages6
JournalJournal of the American Medical Directors Association
Volume13
Issue number9
DOIs
Publication statusPublished - 2012 Nov
Externally publishedYes

Keywords

  • Dementia
  • Japan
  • Nursing homes
  • Waiting lists

ASJC Scopus subject areas

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology

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