全国市町村における自宅死亡割合とその関連因子の探索

抄録

An exploratory analysis focusing on provision of medical and nursing care was conducted, regarding the main causes related to the percentage of home death within municipalities in order to prepare the basic material for promoting the Community-Based Integrated Care System in Japan.

The result of multiple regression analysis with percentage of home death as dependent variable showed that while the population density (per area of permanent residence), the number of users of visiting nursing, the number of clinics to be checked at the general clinic, the number of nursing staff, and the number of general clinics to do care recognized a significant positive relationship, number of hospitals, number of group homes, number of health care expenditures per person (National Health Insurance), number of establishments of visiting nursing, number of elderly health care facilities, number of elderly welfare facilities, number of beds in community inclusive care wards, average life expectancy Admitted a significant negative association.

The result for the most part was in line with previous studies that with municipalities as subjects. This research is a ecological study, and in order to consider development of more accurate models, we need to analyze data including socio-economic factors, and individual situations.