Stephen Bok, Daniel Martin, Erik Acosta, James Shum, Jason Harvie, Maria Lee
Psychometric development of the COVID-19 vaccine misinformation scale and effects on vaccine hesitancy
Preventive medicine reports
medical care longterm care utilization last year life frail older adults could key indicator quality life study aimed identify medical care expenditure mce trajectories last year life frail older adults investigating association mce longterm care utilization trajectory retrospective cohort study three municipalities japan included 405 decedents median age death 85 years 189 women 467 cohort 1658 frail older adults aged 65 years newly certified support level longterm care insurance program april 2012 march 2013 study used longterm care medical insurance claim data april 2012 march 2017 primary outcome mce 12 months preceding death groupbased trajectory modeling conducted identify mce trajectories mixedeffect model employed examine association longterm care utilization mce trajectory participants stratified four groups based mce trajectories 12 months preceding death follows rising n 159 393 persistently high n 143 353 minimal n 56 138 descending n 47 116 groups homebased longterm care utilization associated increased mce descending trajectory coefficient 148 95 confidence interval ci 135162 facilitybased longterm care utilization associated reduced mce rising trajectory coefficient 059 95 ci 050069 homebased coefficient 092 95 ci 085099 facilitybased coefficient 053 95 ci 041063 longterm care utilization associated reduced mce persistently high trajectory findings may facilitate integration medical longterm care models end life frail older adults