Implementation process and challenges for the community-based integrated care system in Japan.
Implementation process and challenges for the community-based integrated care system in Japan.
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DOI：
10.5334/ijic.988
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发表时间：
2014-01
影响因子：
2.4
通讯作者：
Tsutsui T
中科院分区：
文献类型：
--
作者：
Tsutsui T
自10年前以来，日本一直在制定一个长期愿景，以应对2025年婴儿潮一代将达到75岁时老年人数量的峰值。2003年，政府成立了一个名为“2015年照顾老年人”的研究小组，导致2006年对长期护理保险制度进行了第一次改革。这个研究小组是第一个建议建立一个以社区为基础的综合护理系统的人。2006年采取了三项措施：“建设一个积极的老龄化社会：实施预防性护理服务”、“提高可持续性：修订提供护理的设施的报酬”和“融合：建立新的服务体系”。这些改革是以社区为基础的综合护理系统的核心。随着人口老龄化而沿着出现的长期护理社会化，以及日本第二次转向更多地依靠社区，可以为其他老龄化社会提供有用的信息。作为一个超级老龄化社会，日本试图在广泛传播的综合护理概念的基础上开发一个相当独特的系统，也应该成为越来越多的关注焦点。
Since 10 years ago, Japan has been creating a long-term vision to face its peak in the number of older people that will be reached in 2025 when baby boomers will turn 75 years of age. In 2003, the government set up a study group called “Caring for older people in 2015” which led to a first reform of the Long-Term Care Insurance System in 2006. This study group was the first to suggest the creation of a community-based integrated care system. Three measures were taken in 2006: ‘Building an active ageing society: implementation of preventive care services’, ‘Improve sustainability: revision of the remuneration of facilities providing care’ and ‘Integration: establishment of a new service system’. These reforms are at the core of the community-based integrated care system. The socialization of long-term care that came along with the ageing of the population, and the second shift in Japan towards an increased reliance on the community can provide useful information for other ageing societies. As a super ageing society, the attempts from Japan to develop a rather unique system based on the widely spread concept of integrated care should also become an increasing focus of attention.