The DKAS-J provides a useful tool for conceptualizing baseline knowledge, changes in understanding and knowledge deficits. Such a measure will prove valuable for the design and development of educational interventions as dementia increases in Japan and worldwide. Geriatr Gerontol Int 2017; 17: 1746-1751.
SummaryConfronted by accelerated population aging, China is establishing a long‐term care (LTC) system. This study discusses challenges and recommendations for financing China's LTC system. On the basis of the data on elderly people's self‐care ability from the Chinese Longitudinal Healthy Longevity Survey, we calculate the size of the elderly population that need LTC for the period from 2015 to 2030 and analyse the increasing tendency of LTC expenses by considering the impact of price increase. We also analyse the local governments' financial capacity for LTC support by comparing the expense level to the fiscal revenue. The study found that aging will double the LTC expenses by 2030. Therefore, this study suggests the establishment of an LTC insurance system that allocates LTC expenses, which are currently borne by individuals and families, more fairly among the government, individuals, and families. Moreover, with the current LTC reforms, implemented primarily by local governments in China, we believe that the central government should bear some of the fiscal responsibility by conducting fiscal transfers to partially support undeveloped regions that are establishing an LTC system.
Japan is a super-ageing society that faces pressures on its aged care system from a growing population of older adults. Naturalistic observations were undertaken at eight aged care facilities in central and northern Japan to explore how aged care is configured. Four aspects of contemporary provision were identified that offer potential gains in quality of life and health. The Japanese government mandates that aged care facilities must employ a qualified nutritionist to oversee meal preparation, fostering optimal dietary intake. A concept of life rehabilitation seeks to maximise physical and cognitive performance, with possible longevity gains. Low staff to resident ratios are also mandated by the Japanese government to afford residents high levels of interpersonal care. Finally, Japanese facilities prioritise experiences of seasonality and culture, connecting frail older people to the world beyond their walls.
Dementia prevalence is increasing in Japan commensurate with population ageing. This study addresses the paucity of research concerning the dementia education needs of Japanese health workers who care for older adults. A random sample of 117 aged care workers was generated from government lists of institutions and services across eight regions of Japan. Volunteer respondents completed an online survey concerning perceptions of dementia, professional educational needs and demographic information. Japanese aged care workers identified a high prevalence of dementia among their clients and acknowledged the value of professional education; however, they only reported moderate levels of dementia knowledge and confidence with care provision. Educational preferences included learning about non-pharmacological treatments for behavioural and psychological symptoms of dementia, workshop and mentor-based programmes, and incentivising education through formal certification and targeting content to professions. This research may inform the development of educational interventions for aged care workers, which may ultimately affect care for people with dementia.
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