The investigation into the actual conditions about end-of-life care in the long-term care insurance facilities and construction of multi-functional network for supporting the elderly with nursing care

我们思考如何为日本的老年人提供医疗和福利服务。在日本，超过80%的人死于医院；只有12%的人死在家中。一般来说，最常见的死亡原因是癌症，超过30%的人死于癌症。特别是癌症患者，90%死于姑息病房和临终关怀等医疗机构。只有少数人死在家里。否则，老年人护理设施的死亡率很低。两个主要挑战是如何缩短病人在医院的时间，以及如何改善对在家接受护理的人的服务，例如改善来访医疗队和家政服务。另一个挑战是如何将护理能力从医院转移到保险费用较低的护理机构。这些政策似乎正在起作用，因为我的研究表明，在家中和护理机构死亡的人数已经开始急剧增加。

We think about how to supply medical care and welfare services for the elderly in Japan. More than 80% of people in Japan died in hospitals; only 12% died at home. Generally, the most common cause of death is cancer with more than 30% dying of the disease. Especially, for patients suffering from cancer, 90% die in medical facilities including palliative wards and hospice. Only a few % die at home. Otherwise, the death rate of those in nursing-care facilities for the elderly is quite low. The two main challenges were how to shorten the length of time patients spend in hospital and how to improve services for people receiving care at home, for example improving visiting medical teams and home help services. Another challenge was how to transfer care capacity from hospitals to nursing care facilities where insurance costs are less. These policies seen to be working, because my research shows the numbers of death at home and at nursing-care facilities have begun to increase dramatically.