Features of the Japanese national dementia strategy in comparison with international dementia policies: How should a national dementia policy interact with the public health- and social-care systems?
Features of the Japanese national dementia strategy in comparison with international dementia policies: How should a national dementia policy interact with the public health- and social-care systems?
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DOI：
10.1016/j.jalz.2013.06.005
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发表时间：
2014-07-01
影响因子：
14
通讯作者：
Nakashima, Taeko
中科院分区：
文献类型：
--
作者：
Nakanishi, Miharu;Nakashima, Taeko
背景资料：日本政府厚生劳动省于2012年9月公布了“促进痴呆症防治措施的五年计划（橙子计划）”。本文介绍了日本痴呆症战略的特点与国际痴呆症政策的比较。方法：对各国痴呆症政策进行国际比较研究，以寻求日本国家战略的建议。该研究包括一个书目调查，实地调查，并在几个countries.Results的在线案例小插曲调查：日本的卫生和社会保健系统有多个接入点在痴呆症护理路径，澳大利亚，法国，韩国和荷兰。与日本相反，在丹麦、英国和瑞典观察到简化的接入点。橙子计划旨在为痴呆症患者建立专门的保健服务、社会保健服务和机构协调。然而，碎片化仍然在痴呆症的护理pathway.Conclusion：国家政府应审查在卫生，社会保健服务，并在与阿尔茨海默氏症协会日本联合倡议，以提高国家痴呆症战略的宣传根本性的修订。(C)2014年，阿尔茨海默氏症协会。All rights reserved.
Background: The Ministry of Health, Labour, and Welfare of the Japanese national government announced a "Five-Year Plan for Promotion of Measures Against Dementia (Orange Plan)" in September 2012. This article described features of the Japanese dementia strategy in comparison with international dementia policies.Methods: An international comparative study was implemented on national dementia policies to seek suggestions for Japanese national strategy. The study consisted of a bibliographical survey, a field survey, and an online case vignette survey in several countries.Results: The Japanese health- and social-care system had multiple access points in the dementia care pathway, as did Australia, France, South Korea, and the Netherlands. Contrary to Japan, a simplified access point was observed in Denmark, England, and Sweden. The Orange Plan aimed to establish specific health-care services, social-care services, and the coordination of agencies for persons with dementia. However, fragmentation remains in the dementia care pathway.Conclusion: The national government should examine fundamental revisions in health, social-care services, and advocacy in joint initiatives with Alzheimer's Association Japan to improve the national dementia strategy. (C) 2014 The Alzheimer's Association. All rights reserved.