日本的公共长期护理保险
1Department of Health Policy and Management, Keio University School of Medicine, Tokyo, Japan. ikegami@mc.med.keio.ac.jp
JAMA
|October 29, 1997
概括
日本 日本 日本 日本 日本.
科学领域:
- 卫生政策 卫生政策
- 老年学是一门学科.
- 社会保险社会保险是什么
背景情况:
- 快速老龄化的日本社会需要增加长期护理 (LTC) 资源.
- 对现有制度的不满,推动了对公共LTC保险计划的需求.
- 计划在2000年为日本引入国家LTC保险计划.
研究的目的:
- 分析日本拟议的公共长期护理保险计划的结构和潜在挑战.
- 确定有效和公平提供服务的关键考虑因素.
- 探索医生在不断变化的医疗保健领域的作用.
主要方法:
- 对拟议的日本公共长期护理保险计划的融资机制 (保费和税收) 的分析.
- 检查福利结构,包括机构照顾,休息照顾,日托,家庭帮助,访问护士和设备贷款.
- 基于功能和认知状态评估的拟议6级资格分类的审查.
主要成果:
- 该计划将由40岁以上的个人和一般税收的保费平等地资助.
- 市政当局将作为保险公司,在国家一级进行聚合,以管理人口变化.
- 发现的挑战包括利益限制,成本控制,资格分类设计和评估工具的有效性.
结论:
- 拟议的系统需要为所有公民定义LTC服务的"基本套餐".
- 有效和公平的服务提供需要强大的组织机制和评估工具.
- 将医生纳入这种新模式,可能超出传统医疗角色,是21世纪的一个重大挑战.
相关概念视频
Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Tertiary Healthcare System
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

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