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Long-Term Care System in Japan.

Minoru Yamada1, Hidenori Arai2

  • 1Faculty of Human Sciences, University of Tsukuba, Tsukuba, Japan.

Annals of Geriatric Medicine and Research
|August 24, 2020
PubMed
Summary

Japan

Area of Science:

  • Gerontology
  • Public Health Policy
  • Social Insurance

Background:

  • Japan's 2000 Long-Term Care Insurance (LTCI) system aimed to support older adults with disabilities.
  • The system led to increased service utilization and financial strain.
  • Initial disability prevention efforts focused on high-risk individuals.

Purpose of the Study:

  • To analyze the evolution of Japan's long-term care and disability prevention strategies.
  • To evaluate the shift towards community-based integrated care models.
  • To identify needs for improving healthy aging support in a superaged society.

Main Methods:

  • Review of Japan's LTCI system implementation and policy changes.
  • Analysis of disability prevention program strategies, including frailty screening (Kihon checklist).
Keywords:
DisabilityIntegrated health care systemsLong-term care insurance

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  • Examination of the transition to community-based population strategies for integrated care.

    • Main Results:

    • Rapid increase in LTCI service needs and associated government financial burden.
    • Limited success of high-risk approaches in disability prevention.
    • Shift towards community-based integrated care systems providing comprehensive services.

    Conclusions:

    • Community-based integrated care systems are crucial for seamless service provision.
    • Further enhancements to these systems are necessary for successful healthy aging in Japan's superaged society.
    • Policy evolution reflects a move from reactive care to proactive, community-wide prevention and support.