Abstract
Objectives: In order to cope with a rapidly aging national population, the Japanese government promotes the use of a comprehensive community care system known as Kantaki, which was established in 2012. Aimed at older populations, Kantaki offers a variety of services, including home-visit nursing care, day care, and overnight care. This study clarified the factors that affect the estimated revenue of Kantaki services through a secondary analysis of detailed information released by the Ministry of Health, Labour and Welfare (MHLW). Our goal was to provide information that may facilitate the stable management of Kantaki operations across Japan.
Methods: We conducted a secondary analysis of official statistics data and detailed information released by the MHLW in April 2020. As such, we calculated the estimated revenue for Kantaki services. We then conducted a logistic regression analysis with estimated revenue set as the dependent variable in order to assess the magnitude of each influencing factor.
Results: A total of 594 multifunctional in-home long-term care services were established. Of these, 506 met the requirements for Kantaki set in this study’s analysis. The logistic regression analysis showed that items with large odds ratios included tube feeding (2.59), enhanced working conditions for care workers (I) (2.58), and colostomy/ileostomy care (1.76).
Conclusion: To achieve stable management practices for Kantaki, it is important to handle at-home medical needs through the use of skilled care workers, who must be properly trained and ensured stable employment.
