Factors Influencing Home Death in a Japanese Metropolitan Region
Table 3
Relationship between the proportion of home deaths and characteristics of the HCSCs.
No. clinics (%)
value
No. clinics (%)
value
Single, *
Multiple, *
<10%,
10%≤,
<10%,
10%≤,
Health workers
Physiciansa
1
1
5.0 ± 4.9 (2–15)
4.8 ± 3.6 (2–20)
.871
Nursesa
1.0 ± 0.9 (0–5)
1.6 ± 1.4 (0–3)
.089
5.1 ± 7.5 (0–12)
3.2 ± 2.8 (0–36)
.177
Social worker (Yes)
0 (0.0)
0 (0.0)
.524
6 (19.4)
6 (27.3)
.362
Others (Yes)
6 (26.1)
7 (36.8)
.516
22 (68.8)
14 (70.0)
1.000
Providing medical care
Oxygen inhalation
25 (89.3)
19 (90.5)
1.000
33 (94.3)
22 (100.0)
.518
Ventilator
11 (39.3)
7 (33.3)
.769
18 (51.4)
12 (54.5)
1.000
Intravenous hyperalimentation (IVH)
16 (57.1)
15 (71.4)
.377
27 (77.1)
20 (90.9)
.287
Percutaneous endoscopic gastrostomy (PEG)
22 (78.6)
16 (76.2)
1.000
27 (77.1)
16 (72.7)
.758
Palliative medicine
19 (67.9)
16 (76.2)
.750
28 (80.0)
19 (86.4)
.725
Type of clinics
Single
23 (82.1)
14 (77.8)
.721
18 (52.9)
10 (52.6)
1.000
Multiple (established other institutions in parallel)
5 (17.9)
4 (22.2)
16 (47.1)
25 (47.2)
Collaboration with other agenciesb
Hospital
0
1 (3.6)
0 (0.0)
.066
0 (0.0)
0 (0.0)
.016
1
13 (46.4)
2 (9.5)
10 (28.6)
2 (9.1)
2
3 (10.7)
9 (42.9)
7 (20.0)
3 (13.6)
3
6 (21.4)
5 (23.8)
4 (11.4)
2 (9.1)
≧4
5 (17.9)
5 (23.8)
12 (34.3)
15 (68.2)
Clinic
0
11 (39.3)
3 (14.3)
.029
14 (40.0)
5 (22.7)
.113
1
8 (28.6)
5 (23.8)
7 (20.0)
5 (22.7)
2
5 (17.9)
8 (38.1)
3 (8.6)
3 (13.6)
3
2 (7.1)
1 (4.8)
2 (5.7)
3 (13.6)
≧4
1 (3.6)
3 (14.3)
6 (17.1)
6 (27.3)
Home visit nursing station
0
2 (7.1)
1 (4.8)
.916
3 (8.6)
0 (0.0)
.577
1
5 (17.9)
3 (14.3)
5 (14.3)
2 (9.1)
2
4 (14.3)
1 (4.8)
3 (8.6)
4 (18.2)
3
5 (17.9)
9 (42.9)
3 (8.6)
3 (13.6)
≧4
12 (42.9)
7 (33.3)
19 (54.3)
13 (59.1)
Care manager
0
9 (32.1)
3 (14.3)
.201
11 (31.4)
2 (9.1)
.060
1
0 (0.0)
1 (4.8)
0 (0.0)
1 (4.5)
2
3 (10.7)
1 (4.8)
2 (5.7)
1 (4.5)
3
1 (3.6)
2 (9.5)
0 (0.0)
0 (0.0)
≧4
14 (50.0)
14 (66.7)
19 (54.3)
18 (81.8)
Time taken to visit the patient's home (minutes)b
≦15
12 (42.9)
8 (38.1)
.684
9 (25.7)
9 (40.9)
.473
16–30
14 (50.0)
11 (52.4)
21 (60.0)
8 (36.4)
31–45
2 (7.1)
1 (4.8)
5 (14.3)
3 (13.6)
46–60
0 (0.0)
1 (4.8)
0 (0.0)
1 (4.5)
Fisher exact test; amean ± SD (range); Student’s t-test, bMann-Whitney U-test.
*We excluded the 60 clinics where the number of total patients was less than 10 persons per year or where the number of total patients or patients who died at home was unclear.
