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Journal of Aging Research
Volume 2011, Article ID 610520, 8 pages
Research Article

Factors Influencing Home Death in a Japanese Metropolitan Region

1Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan
2Shinjuku Hiro Clinic, Shinjuku-Ward, Tokyo 160-0023, Japan

Received 30 September 2010; Revised 5 January 2011; Accepted 15 February 2011

Academic Editor: Laraine Winter

Copyright © 2011 Akiko Akiyama et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


To examine factors influencing home death, an anonymous survey was mailed to 998 home care supporting clinics (HCSCs) in the 23 wards of Tokyo, Japan. We classified the HCSCs into two types (single physician practice and multiple physician practice) and identified factors of each type of practice that predict home death. The factors associated with a greater probability of dying at home were as follows: in the multiple physician practices, collaboration with hospitals and teaching coping skills to the family members and, in the single physician practices, collaboration with clinics. Our findings suggest that home end-of-life care services are unlikely to be achieved without cooperation among service providers and without improvement of the family members' coping skills.