National Long-Term Care Insurance Policy in Japan a Decade after Implementation: Some Lessons for Aging Countries

Yong, Vanessa; Saito, Yasuhiko

doi:10.1007/s12126-011-9109-0

Cited by 36 publications

(25 citation statements)

References 18 publications

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“…The new law brought about fundamental changes to the traditional Japanese reliance on familial in-home care, which can burden family caregivers physically and psychologically (Lahaie, Earle, & Heymann, 2013). The LTCI law is innovative, in that it covers both home-based and institution-based care services and seeks to lessen the burden of elderly care on family members (Yong & Saito, 2012). While Japan has developed a system of comprehensive public long-term care, promoting active lifestyles among older people, as this study suggests, might be as important as providing instrumental support in shaping their physical health status.…”

Section: Resultsmentioning

confidence: 96%

Active Social Participation and Mortality Risk Among Older People in Japan

Minagawa

Saito

2014

Res Aging

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A large literature suggests that active social participation contributes to the well-being of older people. Japan provides a compelling context to test this hypothesis due to its rapidly growing elderly population and the phenomenal health of the population. Using the Nihon University Japanese Longitudinal Study of Aging, this study examines how social participation, measured by group membership, is related to the risk of overall mortality among Japanese elders aged 65 and older. Results from Cox proportional hazards models show that group affiliation confers advantages against mortality risk, even after controlling for sociodemographic characteristics, physical health measures, and family relationship variables. In particular, activities geared more toward self-development, such as postretirement employment and lifelong learning, are strongly associated with lower levels of mortality. Findings suggest that continued social participation at advanced ages produces positive health consequences, highlighting the importance of active aging in achieving successful aging in the Japanese context.

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Section: Resultsmentioning

confidence: 96%

Active Social Participation and Mortality Risk Among Older People in Japan

Minagawa

Saito

2014

Res Aging

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“…Another prominent characteristic is that long-term care insurance, rather than the medical care system, is the driving force of the initiatives. Since its inception, long-term care insurance system has been constantly harassed by the need to respond to increases in costs brought about by a rapidly ageing population [5, 6]. When long-term care insurance system was originally established, it was separate from the medical insurance system; the recent integration of long-term care and medical care in service provision has important policy implications.…”

Section: Introductionmentioning

confidence: 99%

Towards community-based integrated care: trends and issues in Japan’s long-term care policy

Morikawa¹

2014

Int J Integr Care

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IntroductionIn 2000, Japan implemented a mandatory long-term care insurance system. With the rapid growth of the system, problems became apparent. Several critical alterations were made to long-term care insurance system, particularly with respect to integrated care.MethodsThis paper elucidates the policy trends that led to the reforms of the long-term care insurance system, which included new concepts of ‘integrated care’ and ‘community-based care’, an agenda of cost containment and service streamlining, and coordination with medical care.ResultsCommunity-based integrated care, as envisaged in the long-term care policy, includes not only the integration of medical care into service provision but also the inclusion of the informal mutual aid, oversight of for-profit providers by an administration that ensures users are not exploited and coordination between systems that cover different geographical areas.ConclusionsJapan's experience in community-based care integration suggests that this project requires multi-faceted care integration in local communities. In the future, it will be necessary to conduct empirical assessments of the effectiveness of these measures.

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“…In April 2000, the government launched the long-term care insurance (LTCI) policy under which people aged 65 years old and above are eligible for in-home and institutional long-term care services (Tamiya et al 2011;Yong and Saito 2012). And third, the introduction of a new long-term care policy may have something to do with the reported prevalence of disability.…”

Section: Discussionmentioning

confidence: 99%