Long-Term Care System in Japan
The long-term care insurance (LTCI) system was introduced in Japan in 2000 to address the demands of older persons with disabilities based on the concept of a user-oriented social insurance system with support for independence. Older people with a certification for LTCI service needs can utilize fac...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korea Geriatrics Society
2020-09-01
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| Series: | Annals of Geriatric Medicine and Research |
| Subjects: | |
| Online Access: | http://www.e-agmr.org/upload/pdf/agmr-20-0037.pdf |
| _version_ | 1819155255094411264 |
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| author | Minoru Yamada Hidenori Arai |
| author_facet | Minoru Yamada Hidenori Arai |
| author_sort | Minoru Yamada |
| collection | DOAJ |
| description | The long-term care insurance (LTCI) system was introduced in Japan in 2000 to address the demands of older persons with disabilities based on the concept of a user-oriented social insurance system with support for independence. Older people with a certification for LTCI service needs can utilize facility services, in-home services, and community-based services depending on their physical and cognitive impairments. After the implementation of the LTCI system, there was a rapid increase in persons certified for LTCI service needs, with a corresponding increase in the financial burden on the government. Therefore, the Japanese government started a disability prevention program in which older people were screened for frailty by the Kihon checklist in addition to a high-risk approach with appropriate prevention programs in each community. After unsatisfactory outcomes of the high-risk approach for disability prevention, the government changed the primary strategy to a community-based population strategy to build a community to seamlessly provide preventive, medical, and long-term care and welfare and housing services to all individuals. Further improvement of the community-based integrated care system is needed for healthy aging in a superaged society. |
| first_indexed | 2024-12-22T15:34:04Z |
| format | Article |
| id | doaj.art-954e1ec230aa46ff917297a892cf0c74 |
| institution | Directory Open Access Journal |
| issn | 2508-4798 2508-4909 |
| language | English |
| last_indexed | 2024-12-22T15:34:04Z |
| publishDate | 2020-09-01 |
| publisher | Korea Geriatrics Society |
| record_format | Article |
| series | Annals of Geriatric Medicine and Research |
| spelling | doaj.art-954e1ec230aa46ff917297a892cf0c742022-12-21T18:21:19ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092020-09-0124317418010.4235/agmr.20.0037928Long-Term Care System in JapanMinoru Yamada0Hidenori Arai1 Faculty of Human Sciences, University of Tsukuba, Tsukuba, Japan National Center for Geriatrics and Gerontology, Aichi, JapanThe long-term care insurance (LTCI) system was introduced in Japan in 2000 to address the demands of older persons with disabilities based on the concept of a user-oriented social insurance system with support for independence. Older people with a certification for LTCI service needs can utilize facility services, in-home services, and community-based services depending on their physical and cognitive impairments. After the implementation of the LTCI system, there was a rapid increase in persons certified for LTCI service needs, with a corresponding increase in the financial burden on the government. Therefore, the Japanese government started a disability prevention program in which older people were screened for frailty by the Kihon checklist in addition to a high-risk approach with appropriate prevention programs in each community. After unsatisfactory outcomes of the high-risk approach for disability prevention, the government changed the primary strategy to a community-based population strategy to build a community to seamlessly provide preventive, medical, and long-term care and welfare and housing services to all individuals. Further improvement of the community-based integrated care system is needed for healthy aging in a superaged society.http://www.e-agmr.org/upload/pdf/agmr-20-0037.pdflong-term care insurancedisabilityintegrated health care systems |
| spellingShingle | Minoru Yamada Hidenori Arai Long-Term Care System in Japan Annals of Geriatric Medicine and Research long-term care insurance disability integrated health care systems |
| title | Long-Term Care System in Japan |
| title_full | Long-Term Care System in Japan |
| title_fullStr | Long-Term Care System in Japan |
| title_full_unstemmed | Long-Term Care System in Japan |
| title_short | Long-Term Care System in Japan |
| title_sort | long term care system in japan |
| topic | long-term care insurance disability integrated health care systems |
| url | http://www.e-agmr.org/upload/pdf/agmr-20-0037.pdf |
| work_keys_str_mv | AT minoruyamada longtermcaresysteminjapan AT hidenoriarai longtermcaresysteminjapan |