The Effect of Business Operating Systems on Nursing Home Termination

Xueying Jin; Xueying Jin; Kazuaki Uda; Miho Ishimaru; Miho Ishimaru; Tomomi Kihara; Takehiro Sugiyama; Takehiro Sugiyama; Takehiro Sugiyama; Takehiro Sugiyama; Kazumasa Yamagishi; Hiroyasu Iso; Nanako Tamiya; Nanako Tamiya

doi:10.3389/ijph.2023.1605439

International Journal of Public Health (Feb 2023)

The Effect of Business Operating Systems on Nursing Home Termination

Xueying Jin,
Xueying Jin,
Kazuaki Uda,
Miho Ishimaru,
Miho Ishimaru,
Tomomi Kihara,
Takehiro Sugiyama,
Takehiro Sugiyama,
Takehiro Sugiyama,
Takehiro Sugiyama,
Kazumasa Yamagishi,
Hiroyasu Iso,
Nanako Tamiya,
Nanako Tamiya

Affiliations

Xueying Jin: Department of Social Science, National Center for Geriatrics and Gerontology, Obu, Japan
Xueying Jin: Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan
Kazuaki Uda: Department of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
Miho Ishimaru: Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan
Miho Ishimaru: Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
Tomomi Kihara: Department of Public Health Medicine, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
Takehiro Sugiyama: Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan
Takehiro Sugiyama: Department of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
Takehiro Sugiyama: Institute for Global Health Policy, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
Takehiro Sugiyama: Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan
Kazumasa Yamagishi: Department of Public Health Medicine, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
Hiroyasu Iso: Institute for Global Health Policy, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
Nanako Tamiya: Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan
Nanako Tamiya: Department of Health Services Research, Institute of Medicine, University of Tsukuba, Tsukuba, Japan

DOI: https://doi.org/10.3389/ijph.2023.1605439
Journal volume & issue: Vol. 68

Abstract

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Objectives: Nursing home terminations have increased worldwide due to rising costs, staffing shortages, and the coronavirus disease pandemic. However, little is known about the impact that business operating systems have on nursing home termination.Methods: This study used the National Long-term Care database, which comprised 7,842 operating nursing homes in January 2018. Nursing home termination was identified when nursing homes discontinued provision of long-term care services to all residents between January 2018 and December 2020. Business operating systems that were reimbursed by the LTC insurance system were the exposure of interest. The logistic regression model for nursing home termination included a series of organizational, internal, and external factors as covariates.Results: From 2018 to 2020, 83 (1.1%) nursing homes were terminated. The proportion of reimbursed nursing homes varied greatly depending on the type of business operating systems. Implementing physical function training and improving working conditions were significantly associated with a lower risk of nursing home termination.Conclusion: Financial incentives to several business operating systems are an effective way to build a sustainable environment for nursing homes to continue to exist.

Published in International Journal of Public Health

ISSN: 1661-8556 (Print); 1661-8564 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Public aspects of medicine
Website: https://www.ssph-journal.org/journals/international-journal-of-public-health

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