Abstract
Purpose: This study examined factors related to the overall satisfaction level of older people residing in remote island with at-home medical and long-term care services.
Methods: The survey targeted older people reporting services at a day rehabilitation center in remote island of Nagasaki Prefecture and investigated individuals' backgrounds, including age, sex, long-term care level, living environment, and anxiety about life and health. The abbreviated Japanese version of the Lubben Social Network Scale (LSNS-6) was used to measure their social networks, and the Japanese 8-item version of the Client Satisfaction Questionnaire (CSQ-8J) was used to measure their level of satisfaction with medical and long-term care services.
Results: Data were analyzed for 220 participants, including 82 men (37.3%) and 138 women (62.7%). The mean age was 81.9 ± 7.9 (mean ± standard deviation) years, the mean LSNS-6 score was 12.8 ± 7.0 points, and the mean CSQ-8J score was 24.0 ± 4.0 points. The results of the multiple regression analysis (backward stepwise method) showed that only the item ″Information on medical care intentions is shared among medical personnel and long-term care workers″ was significantly associated with CSQ-8J scores (p=0.009). The results suggest the need to obtain more detailed information regarding illness and treatment and to share it with concerned parties.
