Table 1. Service Types and Contents.

From: User Profiles of Private Long-term Care Services Not Fully Covered by Public Insurance in Japan

Type of service Content of services for older people
Shopping assistance Shopping on behalf of older people.
Meal support Preparing meals, cleaning up dishes, as well as providing information on and applying for meal delivery services.
Cleaning assistance Providing daily cleaning, laundry, and garbage disposal services.
Special cleaning and yard work assistance Providing special services, such as cleaning of exhaust fans and air conditioners, disposing of bulky waste, and yard work.
Facility management support Furniture repair and installation, redecoration, building repair and maintenance, as well as disaster and crime prevention.
Digital support Assisting with the use of the Internet, cell phones, computers, and appliances.
Outing assistance Assisting when going out and arranging transportation such as cabs.
Medical assistance Assisting with medical visits, hospitalization, discharge, and medication management as well as providing home visit services.
Long-term care insurance assistance Assisting with procedures for public long-term care services such as day services, short-stay services, and renting long-term care equipment.
Money management assistance Assisting with asset management, insurance, taxes, and legal procedures.
Social participation support Providing information and assisting with procedures related to travel and hobbies.
Social contact Providing conversation.
Table 2. Baseline Characteristics of Users Stratified by Solitary Living and Long-Term Care Insurance Certification.

From: User Profiles of Private Long-term Care Services Not Fully Covered by Public Insurance in Japan

Total (n = 51), n (%) Solitary living, n (%) Long-term care certification, n (%)
Solitary (n = 28) Nonsolitary (n = 23) Certified (n = 23) Not certified (n = 28)
Sex
 Male 16 (31%) 5 (18%) 11 (48%) 7 (30%) 9 (32%)
 Female 35 (69%) 23 (82%) 12 (52%) 16 (70%) 19 (68%)
Age, median (interquartile range) 84.0 (81.0-88.0) 83.5 (80.0-88.0) 84.0 (81.0-89.0) 84.0 (81.0-89.0) 82.5 (79.5-87.0)
Care level
 Self-reliance or unapplied 28 (55%) 14 (50%) 14 (61%) 0 (0%) 28 (100%)
 Support level 1 11 (22%) 7 (25%) 4 (17%) 11 (48%) 0 (0%)
 Support level 2 4 (8%) 1 (4%) 3 (13%) 4 (17%) 0 (0%)
 Care level 1 8 (16%) 6 (21%) 2 (9%) 8 (35%) 0 (0%)
Household structure
 Solitary living 28 (55%) 28 (100%) 0 (0%) 14 (61%) 14 (50%)
 Living alone but family members live in the same building (two-household house) 6 (12%) 0 (0%) 6 (26%) 3 (13%) 3 (11%)
 Living with a spouse 11 (22%) 0 (0%) 11 (48%) 3 (13%) 8 (29%)
 Living with children 3 (6%) 0 (0%) 3 (13%) 2 (9%) 1 (4%)
 Living with grandchildren 2 (4%) 0 (0%) 2 (9%) 1 (4%) 1 (4%)
 Living with a spouse and grandchildren 1 (2%) 0 (0%) 1 (4%) 0 (0%) 1 (4%)
Relatives living nearby
 Yes 16 (31%) 5 (18%) 11 (48%) 8 (35%) 8 (29%)
Housing type
 Detached house 45 (88%) 23 (82%) 22 (96%) 21 (91%) 24 (86%)
 Apartment house 6 (12%) 5 (18%) 1 (4%) 2 (9%) 4 (14%)
Marital history
 Unmarried 4 (8%) 3 (11%) 1 (4%) 1 (4%) 3 (11%)
 Married (living) 16 (31%) 3 (11%) 13 (57%) 5 (22%) 11 (39%)
 Married (bereaved) 31 (61%) 22 (79%) 9 (39%) 17 (74%) 14 (50%)
Reason for using the service
 Lack of informal caregiving 28 (55%) 15 (54%) 13 (57%) 12 (52%) 16 (57%)
 Diseases, aging, or cognitive decline 23 (45%) 12 (43%) 11 (48%) 14 (61%) 9 (32%)
 Bereavement and living alone 11 (22%) 10 (36%) 1 (4%) 4 (17%) 7 (25%)
 Not covered by long-term care insurance 5 (10%) 4 (14%) 1 (4%) 2 (9%) 3 (11%)
Table 3. Monthly Median Values of Frequency and Minutes of Each Service Stratified by Solitary Living.

From: User Profiles of Private Long-term Care Services Not Fully Covered by Public Insurance in Japan

Frequency Minutes
Total, median (IQR) Nonsolitary, median (IQR) (n = 23) Solitary, median (IQR) (n = 28) P-value Total, median (IQR) Nonsolitary, median (IQR) (n = 23) Solitary, median (IQR) (n = 28) P-value
Total number of times of service use 8.38 (4.60-13.23) 7.81 (5.51-11.01) 9.70 (4.40-15.87) 0.30 216.62 (176.01-279.93) 220.77 (181.28-276.74) 209.38 (161.76-292.27) 0.72
Shopping assistance 0.16 (0-0.58) 0.08 (0-0.25) 0.25 (0.08-1.64) 0.012 3.70 (0-20.98) 3.08 (0-5.60) 5.00 (1.15-27.85) 0.051
Meal support 0 (0-0.16) 0 (0-0) 0 (0-0.16) 0.15 0 (0-0.97) 0 (0-0) 0 (0-4.07) 0.18
Cleaning assistance 1.64 (0.49-2.55) 1.89 (1.23-2.96) 0.82 (0.33-2.47) 0.066 55.51 (16.08-119.42) 101.79 (47.20-133.16) 27.87 (5.91-71.77) 0.009
Special cleaning and yard work assistance§ 1.50 (0.66-2.79) 1.89 (1.07-2.79) 1.48 (0.45-2.59) 0.35 56.50 (24.25-105.64) 56.50 (31.36-113.28) 58.33 (15.81-91.76) 0.32
Facility management support§ 0.58 (0.25-1.23) 0.25 (0.16-1.23) 0.70 (0.38-1.27) 0.25 10.60 (5.18-24.45) 10.01 (2.88-24.27) 10.79 (7.79-25.54) 0.28
Digital support§ 0.16 (0.08-0.82) 0.16 (0.08-1.23) 0.25 (0.08-0.70) 0.55 6.08 (0.41-19.93) 6.16 (1.23-31.64) 6.07 (0.08-14.99) 0.30
Outing assistance 0.08 (0-0.33) 0.08 (0-0.33) 0.08 (0-0.33) 0.88 0.16 (0-10.19) 0 (0-11.98) 0.33 (0-8.94) 0.72
Medical service assistance 0.08 (0-1.40) 0.08 (0-1.64) 0.25 (0-1.23) 0.58 1.64 (0-19.18) 0.22 (0-19.18) 2.90 (0-20.76) 0.37
Long-term care service assistance 0 (0-0.16) 0 (0-0) 0 (0-0.25) 0.038 0 (0-3.16) 0 (0-0) 0 (0-5.03) 0.016
Money management assistance§ 0 (0-0.25) 0 (0-0.08) 0 (0-0.37) 0.14 0 (0-4.93) 0 (0-1.07) 0 (0-6.78) 0.16
Social participation support§ 0 (0-0.08) 0 (0-0.25) 0 (0-0) 0.051 0 (0-0) 0 (0-0.89) 0 (0-0) 0.072
Social contact 0.58 (0.33-1.64) 0.49 (0.33-0.90) 0.62 (0.34-2.05) 0.24 2.38 (0.58-12.90) 0.99 (0.59-3.94) 6.26 (0.54-29.15) 0.094
Table 4. Monthly Median Values of Frequency and Minutes of Each Service Use Stratified by Long-Term Care Certification.

From: User Profiles of Private Long-term Care Services Not Fully Covered by Public Insurance in Japan

Frequency Minutes
Total, median (IQR) Not certified, median (IQR) (n = 28) Certified, median (IQR) (n = 23) P-value Total, median (IQR) Not certified, median (IQR) (n = 28) Certified, median (IQR) (n = 23) P-value
Total number of times of service use 8.38 (4.60-13.23) 6.70 (3.78-11.01) 11.26 (6.16-17.18) 0.006 216.62 (176.01-279.93) 197.10 (149.42-266.27) 226.75 (189.91-304.60) 0.12
Shopping assistance 0.16 (0-0.58) 0.08 (0-0.25) 0.25 (0-1.15) 0.16 3.70 (0-20.98) 3.02 (0-5.13) 5.92 (0-27.99) 0.22
Meal support 0 (0-0.16) 0 (0-0) 0 (0-0.25) 0.048 0 (0-0.97) 0 (0-0) 0 (0-4.68) 0.062
Cleaning assistance 1.64 (0.49-2.55) 1.56 (0.60-3.16) 1.73 (0.49-2.38) 0.61 55.51 (16.08-119.42) 59.30 (18.00-127.25) 55.51 (6.88-109.52) 0.53
Special cleaning and yard work assistance§ 1.50 (0.66-2.79) 1.61 (0.86-2.51) 1.48 (0.49-3.37) 0.97 56.50 (24.25-105.64) 62.14 (39.42-108.87) 31.56 (16.08-98.19) 0.23
Facility management support§ 0.58 (0.25-1.23) 0.38 (0.21-0.82) 1.07 (0.49-1.48) 0.020 10.60 (5.18-24.45) 10.06 (3.09-25.54) 14.94 (7.56-24.27) 0.31
Digital support§ 0.16 (0.08-0.82) 0.25 (0.04-0.82) 0.16 (0.08-0.82) 0.63 6.08 (0.41-19.93) 4.32 (0.32-20.55) 6.58 (0.41-14.75) 0.80
Outing assistance 0.08 (0-0.33) 0 (0-0.16) 0.25 (0-1.15) 0.012 0.16 (0-10.19) 0 (0-6.05) 1.23 (0-16.19) 0.057
Medical service assistance 0.08 (0-1.40) 0.08 (0-0.37) 0.74 (0.08-2.47) 0.008 1.64 (0-19.18) 0.18 (0-4.88) 15.12 (0.62-25.48) 0.023
Long-term care service assistance 0 (0-0.16) 0 (0-0.04) 0 (0-0.49) 0.051 0 (0-3.16) 0 (0-0) 0 (0-7.59) 0.055
Money management assistance§ 0 (0-0.25) 0 (0-0) 0.25 (0-0.58) 0.008 0 (0-4.93) 0 (0-0) 0.79 (0-6.95) 0.017
Social participation support§ 0 (0-0.08) 0 (0-0.04) 0 (0-0.08) 0.95 0 (0-0) 0 (0-0.04) 0 (0-0) 0.61
Social contact 0.58 (0.33-1.64) 0.53 (0.33-1.11) 0.58 (0.33-2.55) 0.40 2.38 (0.58-12.90) 1.78 (0.39-9.41) 3.94 (0.59-28.19) 0.15
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