A Comparative Study on the Operation and Utilization of Multifunctional Small-Scale Nursing Facilities in Hilly/Mountainous and Urban Areas

Le résumé fourni par la source

This study clarifies the operational and utilization characteristics of Multifunctional Small-Scale Nursing Facilities (MSNFs) in hilly/mountainous areas (MtA) compared to urban metropolitan areas (Tokyo). MSNFs were classified based on combined facility types and service provision performance, case facilities were examined for operational conditions, and travel distances of registered users were analyzed. Key findings include: 1) Standalone facilities were predominant in MtA (53.2% vs. 35.7% in metropolitan areas), whereas combined facilities in MtA exhibited dispersed annexation patterns across Types II and III (~20% each). 2) Regarding service performance, MtA facilities showed a significantly higher proportion of high-frequency home-visit care (≥ 32 times/month: 9.1% vs. 1.4% in metropolitan areas). 3) Operational case analyses revealed that wide-area shuttle transport with grouped passengers and physical corridor/floor integration with Combined Group Homes (GHs) for smooth post-service residential transitions are critical operational features in MtA. 4) Travel distance analysis demonstrated that 61.9% of registered users in MtA resided >3 km from facilities, compared to only 6.1% in Tokyo (where 51.7% resided ≤1 km). These findings indicate that MSNFs in MtA cover substantially broader geographical service areas and require spatial and operational strategies tailored to sparse, wide-area care delivery compared to urban facilities

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