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Long-Term Care System in Japan

Annals of Geriatric Medicine and Research 2020년 24권 3호 p.174 ~ 180
Yamada Minoru, Arai Hidenori,
소속 상세정보
 ( Yamada Minoru ) - University of Tsukuba Faculty of Human Sciences
 ( Arai Hidenori ) - National Center for Geriatrics and Gerontology

Abstract


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.

키워드

Long-term care insurance; Disability; Integrated health care systems

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