論文の公開元へ年齢階級別にみた，かかりつけ医と終末期希望療養場所との関連における一考察
概要
研究目的は，かかりつけ医の有無と，終末期希望療養場所との関連を年齢階級別に既存データから明らかにし，その知見について地域包括ケアの視点から考察することである．Ａ県民対象の在宅医療に関する意識調査データを二次分析し，有効回答した2,892 人を分析対象とした．分析は，終末期希望療養場所を自宅・それ以外とし，かかりつけ医の有無との関連を，年齢3 階級で層化した記述統計及び二項ロジスティック解析を行った．その結果，全体の50.6％はかかりつけ医がいると認知しており，また二項ロジスティック分析の結果，65-74 歳においては，かかりつけ医がいる場合，自宅希望が約1.5 倍（OR：1.525：95％ CI：1.022-2.274）であったが，40-64 歳（1.175：0.878-1.573），また75 歳以上（1.130：0.483-2.645）では，有意差はなかった．65-74 歳にのみ，自宅選択とかかりつけ医の関連がみられたのは，自身の終末期への意識が高まる年代であることが背景にあると考えられた．
The purpose of this study was to clarify the relationship between perceptions of family physicians and preference for home as a place of care for EOL. Analysis was performed with data from 2,892 respondents of a home-based healthcare awareness survey conducted in Prefecture A, that is targeting randomly selected 6,606 people aged over 40 years. The analysis classified the preferred EOL care locations as "home" or "other places" and divided age into three categories. The association with the family doctor was then analyzed using descriptive statistics and logistic regression for each of the three age groups. As a result, the proportions of males and females were almost identical and 50.6% of the respondents were aware of the presence of a family physician. The results of the logistic regression showed that the preference for home was 1.5 times higher among those 65-74 years (OR: 1.525: 95% CI: 1.022-2.274). However, it was also no significant difference between those aged 40-64 years (1.175: 0.878-1.573) and 75 years and over (1.130: 0.483-2.645). In the 65-74 age group, it was related to the fact that the age group where awareness of one's own EOL situation is increasing.
