[Current situation and problems inherent to long-term home medical care as compared with medical care provided in nursing homes].
We compared 18 patients under long-term home medical care and 11 patients who entered a nursing home after receiving home medical care, to analyze the factors thought to influence continuation of home care. There was no statistical difference between the mean age of both groups, but the mean age of main caretakers in the former (mean 59 years old) was lower compared with that of caretakers in the latter (mean 70 years old). There were various reasons for them to enter a nursing home after receiving home care. Five of the 11 patients entered the nursing home after long-term hospitalization in spite of no deterioration in their degree of handicap at discharge. We think the long-term hospitalization may reduce the motivation of caretakers. It is indicated that the age of caretakers and ability, especially motivation to provide care are important factors to continue home medical care.
Fujimoto
K
K
Irahara Clinic.
Ogawa
R
R
Tsuruoka
K
K
Kasai
H
H
Sumiki
H
H
Irahara
M
M
D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000628:therapy; D005260:Female; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000592:standards*