Table 1.
The basic characteristics of the study population, total, and closed home-visit nursing agencies.
| Total | Closed | |||
|---|---|---|---|---|
| (n = 6496) | (n = 821) | |||
| Median ± 25–75 percentile or number of subjects (%) | ||||
| A. Regional factor | ||||
| Percentage of older adults 65 years old or over | 26.7 | 23.5–31.2 | 26.0 | 23.0–30.3 |
| Inhabitable area (square km) | 2229.7 | 823.9–7417.9 | 3031.3 | 930.3–8329.9 |
| Number of VNAs per 100,000 population | 7.0 | 5.2–9.6 | 7.0 | 5.3–10.1 |
| Number of clinics per 100,000 population | 77.8 | 64.9–93.5 | 79.3 | 65.9–94.9 |
| B. Organizational factor | ||||
| For-profit organization | ||||
| Yes | 2594 | (39.9) | 449 | (54.7) |
| No | 3901 | (60.1) | 372 | (45.3) |
| Medical organization | ||||
| Yes | 2080 | (30.2) | 203 | (24.7) |
| No | 4415 | (68.0) | 618 | (75.3) |
| Years of operation as of March 31, 2015 | 10.3 | 3.2–15.9 | 4.0 | 1.0–12.7 |
| Provision of care management services | ||||
| Yes | 4570 | (29.6) | 469 | (57.1) |
| No | 1926 | (70.4) | 352 | (42.9) |
| Number of medical institutions issuing home-visit nursing orders | 19 | 9–32 | 11 | 3–23 |
| Number of FTE nurses | 4.0 | 3.0–5.6 | 3.2 | 2.7–4.5 |
| Percentage of nurses with less than three years of experience in the VNAs | 33.3 | 12.5–62.5 | 40.0 | 0.0–85.7 |
| Percentage of full-time nurses | 66.7 | 42.9–85.7 | 66.7 | 42.9–100.0 |
| Number of users per FTE nurses | 11.8 | 7.7–16.5 | 8.0 | 3.4–14.0 |
| Change in the number of nurses in 2013 | ||||
| Decrease | 924 | (14.2) | 86 | (10.5) |
| No change | 3680 | (56.7) | 522 | (63.6) |
| Increase | 1892 | (29.1) | 213 | (25.9) |
| Percentage of rehabilitation professionals among home-visit staff | 1.3 | 0.0–30.0 | 0.0 | 0.20.0 |
| Provision system of services | ||||
| Emergency home-visits | ||||
| Yes | 5482 | (84.4) | 222 | (27.0) |
| No | 1014 | (15.6) | 599 | (73.0) |
| Home-based palliative care | ||||
| Yes | 5252 | (80.8) | 535 | (65.2) |
| No | 1244 | (19.2) | 286 | (34.8) |
| Specialized medical care 1 | ||||
| Yes | 5638 | (86.8) | 598 | (72.8) |
| No | 858 | (13.2) | 223 | (27.1) |
| Specialized medical care 2 | ||||
| Yes | 5599 | (86.2) | 583 | (71.0) |
| No | 897 | (13.8) | 238 | (29.0) |
| Enhanced service delivery | ||||
| Yes | 3172 | (48.8) | 228 | (27.8) |
| No | 3324 | (51.2) | 593 | (72.2) |
| Cooperative discharge guidance with hospitals | ||||
| Yes | 4839 | (74.5) | 486 | (59.2) |
| No | 1657 | (25.5) | 335 | (40.8) |
| Number of types of medical care that can be provided | 12 | 10–13 | 11 | 6–13 |
| Percentage of users under the age of 40 years | 1.1 | 0.0–4.5 | 0.0 | 0.0–4.2 |
| Percentage of users with care need level of four or higher | 34.2 | 25.0–45.5 | 33.3 | 22.6–48.6 |