A lack of screening was found to be a barrier to the
delivery of community nursing services to the elderly [22].
Some patients (e.g. patients suffering from dementia)
might be still in need of greater visiting nurse services [22].
The research shows that the higher the level of care needed,
the more likely patients are to rely upon and require nurse
services. Visiting nurse services use was found to increase
as the cost fell. The impact of care needs and costs on the
degree of use of visiting nurses services needs to be more
fully examined before any conclusions can be reached [22].
Certain difficulties have been found with the visiting
nursing system in rural Japan. This includes travel costs
and the length of journey to remote areas, as well as the
challenge of transporting equipment such as portable baths