Satoko Hotta - Academia.edu (original) (raw)
Papers by Satoko Hotta
Annals of Geriatric Medicine and Research
Social Science Japan Journal, Oct 1, 2007
demand for home-visit care services. In addition, with the comprehensive enactment of the Revised... more demand for home-visit care services. In addition, with the comprehensive enactment of the Revised Long-Term Care Insurance Law (Kaisei Kaigo Hoken H o) in April 2006, the types of services needed, including preventive care, treatment of dementia and so forth, are becoming more specialized and sophisticated. Moreover, in 2007, a national audit of major home-visit care service providers was conducted for the first time ever. 2 The audit revealed inappropriate management conduct on the part of the service providers, and even forced the largest provider to withdraw from the market. All in all, the trend for reinforced monitoring and improvement of service quality is growing strongly. In other words, not only are the needs for home-visit care expected to expand but also its quality can be predicted to improve as well. In order to respond flexibly to the growing need for home-visit care, it is important to take home helpers into consideration, as well as users and providers of the services. This is because in order to consistently provide home-visit care services of suitable levels, adequate numbers of workforce need to be secured. Furthermore, the workforce needs training so that it is equipped to provide highquality care services. Recruiting and retaining an adequately educated and skilled workforce, and improving the quality of staff, are policy issues shared by other member nations of the Organization for Economic Cooperation and Development (OECD) as well (OECD 2005a). Therefore, examining strategies for securing and improving the quality of the workforce in Japan, based on the current state of the country's home helpers, may also contribute to the improvement and maintenance of longterm care quality in other OECD countries. 3 2. The Long-Term Care Insurance Service Market in Japan This section introduces the background regarding the adoption of the Long-Term Care Insurance System in Japan and presents an overview of the system. It also presents an outline of the long-term care insurance service market. 2.1 The Aging Society and Its Long-Term Care Policies Since the 1990s, the population of Japan has aged rapidly, and the country's birth rate has been declining at equivalent speed. In 2006, the total fertility rate was 1.32 (Ministry of Health, Labour and Welfare 2007b), the average life expectancy 79.0 years for men and 85.8 years for women (Ministry of Health, Labour and Welfare 2007c) and the ratio of the elderly (i.e. the ratio of the population of those 65 and over to the total population) was 20.5% for the total population of 127.77 million.
Hiroki Sato Senior Research Fellow, The Japan Institute for Labour Policy and Training Professor,... more Hiroki Sato Senior Research Fellow, The Japan Institute for Labour Policy and Training Professor, Institute of Social Science, The University of Tokyo Hiromi Hara Researcher, The Japan Institute for Labour Policy and Training Yoshihide Sano Visiting Associate Professor, Institute of Social Science, The University of Tokyo Mitsuko Uenishi Associate Professor, Faculty of Lifelong Learning and Career Studies, Hosei University Satoko Hotta Assistant, Institute of Social Science, The University of Tokyo
BMC Geriatrics
Background Although people with cognitive impairment highly value social participation in out-of-... more Background Although people with cognitive impairment highly value social participation in out-of-home activities, their families typically perceive concerns and experience anxiety over such activities. This study aimed to elucidate the underlying concerns and factors associated with family caregivers’ anxiety over the individual’s unaccompanied out-of-home activities. Methods In December 2021, we conducted a cross-sectional e-survey of family caregivers of individuals with early-stage cognitive impairment. Caregivers’ concerns about ten common risks related to out-of-home activities were cross-tabulated by specific anxiety levels to examine trend associations. With the variables of caregivers and their individuals across the five domains, we ran logistic regression analyses to determine explanatory models for anxiety. Results The study participants were 1,322 family caregivers of people whose cognitive function varied from intact to possible mild dementia according to the Dementia A...
Journal of Primary Care & Community Health, 2022
Introduction: Reflecting the rapidly aging society, there has been a worldwide increase in the nu... more Introduction: Reflecting the rapidly aging society, there has been a worldwide increase in the number of health cafés and dementia cafés which can provide a variety of support to people with illnesses and their families in the community. Nevertheless, health cafés organized by primary care physicians are rarely reported, and the social value of these activities has not yet been fully elucidated. Objectives: This study was aimed to investigate the value and impact that the health café organized by the primary care physician, brings to the visitors, the clinic, and the community. Methods: Conversations between the author (YO), who belongs to a medical clinic that has been operating for many years in Shizuoka City, and visitors of the health café were qualitatively analyzed using Steps for Coding and Theorization (SCAT), which is a sequential and thematic qualitative analysis technique consisting of 4 steps. Results: Sixteen people participated in the study. The values and impacts of h...
The data consists of outputs from the network activity which describe the project and summarise t... more The data consists of outputs from the network activity which describe the project and summarise the lessons learned. Please check related resources.
Kokusai Hoken Iryo (Journal of International Health)
Annals of Geriatric Medicine and Research
Background: This study aimed to identify reduced home care use among older people and its impact ... more Background: This study aimed to identify reduced home care use among older people and its impact on user numbers and service provider revenues during the coronavirus disease 2019 (COVID-19) pandemic.Methods: We conducted this secondary analysis of cross-sectional data from long-term care providers in Japan and estimated the probability of client cancellations and service contraction for institutional and home care services adjusted for the service type, area, size, infection occurrence, and staff employment impacts. We then estimated the rate of change in user numbers and revenue related to reduced usage.Results: Seventy-two percent of home care providers experienced client cancellations and 42.1% experienced service contraction, both of which were more prevalent in home care than in institutional care (adjusted odds ratio [AOR]=11.09 and 1.60). Home-visit (AOR=0.70) and short-term stay (AOR=0.38) services were less likely to experience client cancellations compared with adult day s...
Annals of Geriatric Medicine and Research
Social Science Japan Journal, Oct 1, 2007
demand for home-visit care services. In addition, with the comprehensive enactment of the Revised... more demand for home-visit care services. In addition, with the comprehensive enactment of the Revised Long-Term Care Insurance Law (Kaisei Kaigo Hoken H o) in April 2006, the types of services needed, including preventive care, treatment of dementia and so forth, are becoming more specialized and sophisticated. Moreover, in 2007, a national audit of major home-visit care service providers was conducted for the first time ever. 2 The audit revealed inappropriate management conduct on the part of the service providers, and even forced the largest provider to withdraw from the market. All in all, the trend for reinforced monitoring and improvement of service quality is growing strongly. In other words, not only are the needs for home-visit care expected to expand but also its quality can be predicted to improve as well. In order to respond flexibly to the growing need for home-visit care, it is important to take home helpers into consideration, as well as users and providers of the services. This is because in order to consistently provide home-visit care services of suitable levels, adequate numbers of workforce need to be secured. Furthermore, the workforce needs training so that it is equipped to provide highquality care services. Recruiting and retaining an adequately educated and skilled workforce, and improving the quality of staff, are policy issues shared by other member nations of the Organization for Economic Cooperation and Development (OECD) as well (OECD 2005a). Therefore, examining strategies for securing and improving the quality of the workforce in Japan, based on the current state of the country's home helpers, may also contribute to the improvement and maintenance of longterm care quality in other OECD countries. 3 2. The Long-Term Care Insurance Service Market in Japan This section introduces the background regarding the adoption of the Long-Term Care Insurance System in Japan and presents an overview of the system. It also presents an outline of the long-term care insurance service market. 2.1 The Aging Society and Its Long-Term Care Policies Since the 1990s, the population of Japan has aged rapidly, and the country's birth rate has been declining at equivalent speed. In 2006, the total fertility rate was 1.32 (Ministry of Health, Labour and Welfare 2007b), the average life expectancy 79.0 years for men and 85.8 years for women (Ministry of Health, Labour and Welfare 2007c) and the ratio of the elderly (i.e. the ratio of the population of those 65 and over to the total population) was 20.5% for the total population of 127.77 million.
Hiroki Sato Senior Research Fellow, The Japan Institute for Labour Policy and Training Professor,... more Hiroki Sato Senior Research Fellow, The Japan Institute for Labour Policy and Training Professor, Institute of Social Science, The University of Tokyo Hiromi Hara Researcher, The Japan Institute for Labour Policy and Training Yoshihide Sano Visiting Associate Professor, Institute of Social Science, The University of Tokyo Mitsuko Uenishi Associate Professor, Faculty of Lifelong Learning and Career Studies, Hosei University Satoko Hotta Assistant, Institute of Social Science, The University of Tokyo
BMC Geriatrics
Background Although people with cognitive impairment highly value social participation in out-of-... more Background Although people with cognitive impairment highly value social participation in out-of-home activities, their families typically perceive concerns and experience anxiety over such activities. This study aimed to elucidate the underlying concerns and factors associated with family caregivers’ anxiety over the individual’s unaccompanied out-of-home activities. Methods In December 2021, we conducted a cross-sectional e-survey of family caregivers of individuals with early-stage cognitive impairment. Caregivers’ concerns about ten common risks related to out-of-home activities were cross-tabulated by specific anxiety levels to examine trend associations. With the variables of caregivers and their individuals across the five domains, we ran logistic regression analyses to determine explanatory models for anxiety. Results The study participants were 1,322 family caregivers of people whose cognitive function varied from intact to possible mild dementia according to the Dementia A...
Journal of Primary Care & Community Health, 2022
Introduction: Reflecting the rapidly aging society, there has been a worldwide increase in the nu... more Introduction: Reflecting the rapidly aging society, there has been a worldwide increase in the number of health cafés and dementia cafés which can provide a variety of support to people with illnesses and their families in the community. Nevertheless, health cafés organized by primary care physicians are rarely reported, and the social value of these activities has not yet been fully elucidated. Objectives: This study was aimed to investigate the value and impact that the health café organized by the primary care physician, brings to the visitors, the clinic, and the community. Methods: Conversations between the author (YO), who belongs to a medical clinic that has been operating for many years in Shizuoka City, and visitors of the health café were qualitatively analyzed using Steps for Coding and Theorization (SCAT), which is a sequential and thematic qualitative analysis technique consisting of 4 steps. Results: Sixteen people participated in the study. The values and impacts of h...
The data consists of outputs from the network activity which describe the project and summarise t... more The data consists of outputs from the network activity which describe the project and summarise the lessons learned. Please check related resources.
Kokusai Hoken Iryo (Journal of International Health)
Annals of Geriatric Medicine and Research
Background: This study aimed to identify reduced home care use among older people and its impact ... more Background: This study aimed to identify reduced home care use among older people and its impact on user numbers and service provider revenues during the coronavirus disease 2019 (COVID-19) pandemic.Methods: We conducted this secondary analysis of cross-sectional data from long-term care providers in Japan and estimated the probability of client cancellations and service contraction for institutional and home care services adjusted for the service type, area, size, infection occurrence, and staff employment impacts. We then estimated the rate of change in user numbers and revenue related to reduced usage.Results: Seventy-two percent of home care providers experienced client cancellations and 42.1% experienced service contraction, both of which were more prevalent in home care than in institutional care (adjusted odds ratio [AOR]=11.09 and 1.60). Home-visit (AOR=0.70) and short-term stay (AOR=0.38) services were less likely to experience client cancellations compared with adult day s...