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1

Nakanishi, Miharu, Asao Ogawa, and Atsushi Nishida. "Availability of home palliative care services and dying at home in conditions needing palliative care: A population-based death certificate study." Palliative Medicine 34, no. 4 (2020): 504–12. http://dx.doi.org/10.1177/0269216319896517.

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Background: Avoiding inappropriate care transition and enabling people with chronic diseases to die at home have become important health policy issues. Availability of palliative home care services may be related to dying at home. Aim: After controlling for the presence of hospital beds and primary care physicians, we examined the association between availability of home palliative care services and dying at home in conditions requiring such services. Design: Death certificate data in Japan in 2016 were linked with regional healthcare statistics. Setting/participants: All adults (18 years or o
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Kashiwagi, Tetsuo. "Palliative Care in Japan." Palliative Medicine 5, no. 2 (1991): 165–70. http://dx.doi.org/10.1177/026921639100500213.

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In 1990, palliative care services in Japan entered a new era when the national government authorized medical insurance cover for hospice care. Within the last decade, gradual yet remarkable progress has taken place in the perception of the need for palliative care services in Japan. The first Japanese hospice opened in 1981, followed by three other hospices over a nine-year period. These have been well received both by the public and medical professionals, although many difficulties have been encountered in establishing them. It is hoped that further development will include an increase in the
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Matsumoto, Hiroshige, Masahiro Kawagoe, and Satoko Hotta. "Older Adults Used Fewer Home Care Services during the COVID-19 Pandemic: Findings from a Secondary Analysis of an Urgent Survey in Japan." Annals of Geriatric Medicine and Research 25, no. 4 (2021): 286–93. http://dx.doi.org/10.4235/agmr.21.0108.

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Background: This study aimed to identify reduced home care use among older people and its impact on user numbers and service provider revenues during the coronavirus disease 2019 (COVID-19) pandemic.Methods: We conducted this secondary analysis of cross-sectional data from long-term care providers in Japan and estimated the probability of client cancellations and service contraction for institutional and home care services adjusted for the service type, area, size, infection occurrence, and staff employment impacts. We then estimated the rate of change in user numbers and revenue related to re
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Traphagan, John W. "Independence, Security, and the Intergenerational Social Contract: Home-Helper Services and Elder Care in Rural Japan." Care Management Journals 4, no. 4 (2003): 216–22. http://dx.doi.org/10.1891/cmaj.4.4.216.63697.

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For several years, demographic trends and changing ideas about responsibilities for elder care in Japan have contributed to the desire, or need, for families to seek out new care approaches. This article focuses on one alternative to traditional approaches to caring for elder family members—the home-helper program that is available through the Japanese long-term care insurance program. Using ethnographic data collected in northern Japan, it will be argued that the home-helper program forms a compensatory elder care system that is intended to augment family-provided care and social support, rat
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Ogata, Yasuko, Yasuki Kobayashi, Takashi Fukuda, Katsumi Mori, Michio Hashimoto, and Kayo Otosaka. "Measuring Relative Work Values for Home Care Nursing Services in Japan." Nursing Research 53, no. 3 (2004): 145–53. http://dx.doi.org/10.1097/00006199-200405000-00001.

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6

Matsushige, Takuya, Takako Tsuisui, and Masaaki Otaga. "‘Mutual aid’ beyond formal institutions: Integrated home care in Japan." Current Sociology 60, no. 4 (2012): 538–50. http://dx.doi.org/10.1177/0011392112438336.

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The Japanese government has promoted the development of a home care system that integrates the provision of health and social care services and links formal and informal care. Yet the coordination of different forms of care faces a number of challenges. This article introduces a micro-sociological approach focusing on the relevance of ‘mutual aid’ in local communities as a guide to practical action. The article explores interactions, communication and coordination in multidisciplinary care delivery using a qualitative approach focusing on a region of the country with advanced integrated home c
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Traphagan, John W. "Culture and Long-Term Care: The Bath as Social Service in Japan." Care Management Journals 5, no. 1 (2004): 53–60. http://dx.doi.org/10.1891/cmaj.5.1.53.61263.

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A central feature of Japan’s approach to community-based care of the elderly, including long-term home health care, is the emphasis on providing bath facilities. For mobile elders, senior centers typically provide a public bathing facility in which people can enjoy a relaxing soak along with friends who also visit the centers. In terms of in-home long-term care, visiting bath services are provided to assist family care providers with the difficult task of bathing a frail or disabled elder—a task made more problematic as a result of the Japanese style of bathing. I argue that the bath, as socia
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8

Lawrence, Timothy L. "Health Care Facilities for the Elderly in Japan." International Journal of Health Services 15, no. 4 (1985): 677–97. http://dx.doi.org/10.2190/y409-deyj-8yg1-w2y8.

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North America and Europe have been struggling with increasing elderly populations needing medical and personal care. Japan also has suddenly found itself faced with a rapidly expanding population of sick and disabled old people. Japan, however, has witnessed this dramatic increase in its aged population proceed at a rate almost twice that of any other industrialized nation. The very suddenness of the emergence of such a top-heavy population and the equally sudden changes in the family structure have placed great stresses on both the medical and social welfare systems of Japan. This study is, t
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9

Kubota, Rie, Junichi Mukai, Michiko Yamada, Yurika Yoshino, and Nakaba Okamura. "Evaluation of a New Home Patient Services Practicum for Community Pharmacy Students in Japan." Pharmacy 9, no. 3 (2021): 120. http://dx.doi.org/10.3390/pharmacy9030120.

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This study aimed to evaluate the usefulness of the practicum as well as assess the knowledge, skills, and various specific realizations that the students gained from it. A total of 244 students role-played a scenario in which a pharmacist visited a patient at home and provided pharmaceutical management services. After completing the practicum, the students completed (i) a questionnaire survey consisting of six questions that assessed their level of understanding of the role of pharmacists in home medical care and (ii) a rubric survey that evaluated their learning achievement. In addition, they
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10

Nakano, Ikuko, Y. Shimizu, K. Hiraoka, et al. "Measuring the Social-Care Service Needs of Impaired Elderly People in Japan." Ageing and Society 16, no. 3 (1996): 315–32. http://dx.doi.org/10.1017/s0144686x00003445.

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ABSTRACTThis study aims to measure objectively and/or estimate the needs of impaired elderly persons and their families for social care services. The research was carried out in Maebashi, a medium size Japanese city. In our study, ‘impaired elderly persons’ included both physically and/or mentally impaired persons. In total, 693 impaired elderly persons and their families were classified according to 20 specific types of need: these ‘need types’ were cross-tabulated with two sets of factors: (1) Severity of impairments and (2) Difficulty of caregivers in providing the required care. A standard
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11

Butler, Jenny, and Teresa Smith. "Community Care and Rehabilitation after Stroke in Japan." British Journal of Occupational Therapy 65, no. 8 (2002): 363–70. http://dx.doi.org/10.1177/030802260206500803.

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The purpose of the research project was to determine, from a cross-cultural perspective, the care services and rehabilitation for elderly people with stroke living in the community in Japan. A written questionnaire and a semi-structured interview were used. The participants were a purposive sample of 21 elderly people and family/carer living in the metropolitan area of Tokyo, Japan. There were 11 men and 10 women with an average age of 70 years (range 42–86 years). The mean age at onset of stroke was 66.5 years (range 42–81 years) and the mean time since stroke was 3.2 years (range 3 months to
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12

Aoyama, Maho, Tatsuya Morita, Yoshiyuki Kizawa, Satoru Tsuneto, Yasuo Shima, and Mitsunori Miyashita. "The Japan HOspice and Palliative Care Evaluation Study 3: Study Design, Characteristics of Participants and Participating Institutions, and Response Rates." American Journal of Hospice and Palliative Medicine® 34, no. 7 (2016): 654–64. http://dx.doi.org/10.1177/1049909116646336.

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This article describes the whole picture of Japan HOspice and Palliative Care Evaluation Study 3 (J-HOPE3 Study) including study design and demographic data. The aims of the J-HOPE3 study were to (1) evaluate the process, structure, and outcome of palliative care in the following care settings: acute hospitals, inpatient hospice/palliative care units (PCUs), and home hospice services; (2) examine bereaved family members’ self-reported psychosocial conditions, such as grief and depression, as bereavement outcomes; (3) provide data to ensure and improve the quality of care provided by participat
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SUZUKI, WATARU, SEIRITSU OGURA, and NOBUYUKI IZUMIDA. "BURDEN OF FAMILY CARE-GIVERS AND THE RATIONING IN THE LONG-TERM CARE INSURANCE BENEFITS OF JAPAN." Singapore Economic Review 53, no. 01 (2008): 121–44. http://dx.doi.org/10.1142/s0217590808002872.

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Long-Term Care Insurance (LTCI), introduced in Japan in 2000, is rapidly turning into a system of rationed benefits due to financial difficulty. Based on our survey of 2,530 family care-givers and the Zarit Care-Giver Burden Index, we have examined how LTCI is affecting their subjective burden. We have found that, as Kishida and Tanigaki (2004) had shown, (i) insufficient provision of short-term stays, day services and home-helper services, as well as (ii) disruptive or antisocial behaviors of the elderly, increase the care-giver's burden. We then argue that (iii) these results establish the p
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14

Akishita, Masahiro, and Satoru Mochizuki. "Geriatrics Perspectives From Japan." Innovation in Aging 5, Supplement_1 (2021): 382–83. http://dx.doi.org/10.1093/geroni/igab046.1485.

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Abstract In 2025, Japan’s baby boomers will cross the threshold of 75 years of age; a phenomenon that has been referred to as “the 2025 crisis”, resulting in a significant burden on the healthcare system. To address this issue, the Japanese government is establishing the Integrated Community Care System, to provide comprehensive medical and long-term care services in each community. In cooperation with government and affiliated organizations, the Japan Geriatrics Society (JGS) has been working to develop the Integrated Community Care System. As a result of this effort, geriatric medicine is be
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15

Hayasaka, Shinya, Masanobu Okayama, Shizukiyo Ishikawa, Yosikazu Nakamura, and Eiji Kajii. "Accidents Associated with Bathing in Home Care Services for the Aged in Japan." Journal of Epidemiology 11, no. 3 (2001): 139–42. http://dx.doi.org/10.2188/jea.11.139.

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16

Neill, Ruth D., Junko Wake, Mie Ohwa, Jill Manthorpe, Patricia Gillen, and Paula McFadden. "Comparing the Mental Wellbeing and Quality of Working Life among Nurses and Social Care Workers in the UK and Japan in Older Adults’ Care Services during the COVID-19 Pandemic." Psych 4, no. 4 (2022): 843–55. http://dx.doi.org/10.3390/psych4040062.

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This study explored and compared the psychological wellbeing, burnout, coping strategies and work-related quality of life amongst health and social care workers in older adults’ care homes and community settings during the COVID-19 pandemic in the United Kingdom (UK) and Japan. A cross-sectional online survey was conducted in the UK (May–July 2021) and a postal survey conducted in Japan (September–October 2021). Participants recruited were health and social care professionals within nursing, social care and social work occupations working in care home or community settings in the UK and Japan
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Mine, Yuka, Masayuki Yokoi, and Takao Tashiro. "Why Did the Policy to Convert Hospitals Into Facilities Not Work in Japan?" Global Journal of Health Science 11, no. 10 (2019): 89. http://dx.doi.org/10.5539/gjhs.v11n10p89.

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The government of Japan formulated measures to significantly reduce the number of hospital beds for long-term care in 2006. In particular, long-term care hospital beds covered by long-term care insurance (sanatorium medical facilities) were to be abolished in 2012, and existing sanatorium medical facilities were to be converted into long-term care insurance services such as geriatric health services facilities. However, the conversion did not progress in spite of various support measures, and the deadline for abolishment was extended. In order to clarify the reason for this, we selected 28 hos
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18

Goto, Yuko, and Hisayuki Miura. "Validation and Clinical Application of the Japanese Version of the Patient-Reported Experience Measures for Intermediate Care Services: A Cross-Sectional Study." Healthcare 12, no. 7 (2024): 743. http://dx.doi.org/10.3390/healthcare12070743.

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Older adult patients account for 70% of all hospitalized patients in Japan, and intermediate care based on patient-centered care (PCC) that ensures continuity and quality of care at the interface between home services and acute care services and restores patient’s independence and confidence is necessary for them to continue living independently. At present, no concept of intermediate care is established in Japan, and the implementation of PCC has been delayed. Thus, in this study, a Japanese version of the intermediate care evaluation index (patient-reported experience measure (PREM)) was cre
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19

Burton, Elissa, Gill Lewin, and Duncan Boldy. "A Systematic Review of Physical Activity Programs for Older People Receiving Home Care Services." Journal of Aging and Physical Activity 23, no. 3 (2015): 460–70. http://dx.doi.org/10.1123/japa.2014-0086.

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The proportion of older people living in our communities is rising and, to live independently, some require assistance from home care services. Physical activity can improve and maintain function, strength, and balance, which are important for those receiving home care. This study reviewed the evidence on physical activity/exercise interventions trialed with older people receiving a home care service. A systematic review of studies published from January 1982 to September 2012, from five databases, was undertaken. Inclusion criteria were: aged 65+ years; community dwelling; no dementia diagnos
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20

Akiyama, Akiko, Hiroo Hanabusa, and Hiroshi Mikami. "Factors Influencing Home Death in a Japanese Metropolitan Region." Journal of Aging Research 2011 (2011): 1–8. http://dx.doi.org/10.4061/2011/610520.

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To examine factors influencing home death, an anonymous survey was mailed to 998 home care supporting clinics (HCSCs) in the 23 wards of Tokyo, Japan. We classified the HCSCs into two types (single physician practice and multiple physician practice) and identified factors of each type of practice that predict home death. The factors associated with a greater probability of dying at home were as follows: in the multiple physician practices, collaboration with hospitals and teaching coping skills to the family members and, in the single physician practices, collaboration with clinics. Our findin
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Okamoto, Etsuji. "Japan’s Dental Care Facing Population Aging: How Universal Coverage Responds to the Changing Needs of the Elderly." International Journal of Environmental Research and Public Health 18, no. 17 (2021): 9359. http://dx.doi.org/10.3390/ijerph18179359.

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Although universal health coverage (UHC) is pursued by many countries, not all countries with UHC include dental care in their benefits. Japan, with its long-held tradition of UHC, covers dental care as an essential benefit, and the majority of dental care services are provided to all patients with minimal copayment. Being under UHC, the scope of services as well as prices are regulated by the uniform fee schedule, and dentists submit claims according to the uniform format and fee schedule. The author analyzed the publicly available dental health insurance claims data as well as a sampling sur
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Yamazaki, Akemi, and Tae Kawahara. "The Structure of Family Practices in Multifunctional Long-Term Care in a Small Group Home in Japan." Home Health Care Management & Practice 30, no. 1 (2017): 30–34. http://dx.doi.org/10.1177/1084822317734181.

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The aim of the present research was to extract the structure of family practices in multifunctional long-term care in a small group home by focusing on practices offered to families that are not present in conventional in-home support services. Semistructured interviews were conducted with 18 care providers and four users’ family members. Four categories and 16 subcategories were extracted. In multifunctional long-term care in a small group home, staff engaged in the practices of becoming a part of family life, drawing out the nursing care capabilities of family members, and constantly speakin
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Ito, Tomoko, Sachiko Hirata-Mogi, Taeko Watanabe, et al. "Change of Use in Community Services among Disabled Older Adults during COVID-19 in Japan." International Journal of Environmental Research and Public Health 18, no. 3 (2021): 1148. http://dx.doi.org/10.3390/ijerph18031148.

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During the COVID-19 pandemic, social interactions were restricted, including community services for disabled older adults. This study aimed to describe the change of use in community services related to long-term care insurance (LTCI) during the pandemic in Japan. A retrospective descriptive study was conducted using data collected via a cloud-based management support platform for older adult care provider “Kaipoke”, by a private-sector company “SMS Co., Ltd.”, in which care-managers of LTCI manage their office work. Data collection occurred from July 2019 to June 2020. Study subjects were LTC
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Ayabe, Takako, and Shinichi OKADA. "Research concerning the Care Planning by Care Managers in Home-Based Community Care Support Centers of Japan." Innovation in Aging 5, Supplement_1 (2021): 950–51. http://dx.doi.org/10.1093/geroni/igab046.3432.

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Abstract The research was conducted between February 9 and 28, 2017. The care management centers were randomly selected from the national list of the centers. The data were collected by self-administered questionnaires mailed to the care managers at 500 care management centers in six prefectures in the Kinki area of Japan. The independent variables were gender, age, experience years of care managers and/or social workers, Clients’ Physical and Mental conditions (CPM), Client’s Lifestyle (CL), Physical and Mental conditions of the Caregivers (PMC), and Human and Financial resources for Clients
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Ohta, Ryuichi, Naoto Sakamoto, and Tetsuhiro Maeno. "Home Care Workers’ Judgment of Acute Conditions in Home Care Patients: A Retrospective Cohort Study." Home Health Care Management & Practice 32, no. 1 (2019): 3–9. http://dx.doi.org/10.1177/1084822319861095.

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Home care workers are likely to detect acute conditions in home care patients. Obtaining data about home care workers’ detection of acute conditions is essential for improving the present quality of home care. This study investigates how home care workers approach the acute conditions of their patients. A retrospective cohort study was conducted with all home care patients who received services from home care workers in Unnan City, Shimane, Japan. The primary outcome was the frequency of acute conditions occurring in home care patients. We used logistic regression to model the acute conditions
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Ono, Keiko. "HOME-BASED END-OF-LIFE CARE COOPERATION BETWEEN VISITING NURSES AND CARE MANAGERS IN JAPAN." Innovation in Aging 7, Supplement_1 (2023): 1056. http://dx.doi.org/10.1093/geroni/igad104.3394.

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Abstract End-of-life care patients use home-visit nursing services under Japanese long-term care insurance; however, they require a care manager to implement the care plan. However, the cooperation procedure of home-based medical care between visiting nurses and care managers has not been adequately researched. Thus, this study aimed to clarify the presence of support between visiting nurses and care managers to be adapted to this situation. This study was conducted in March and April 2023 at home-visit nursing stations located in a prefecture in Japan. Self-administered questionnaires were ma
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Sumikawa, Yuka, Sameh Eltaybani, Chie Fukui, Ayumi Igarashi, and Noriko Yamamoto-Mitani. "WHAT IS THE DIFFERENCE BETWEEN OLDER PERSONS WHO CONTINUE HOME CARE AND THOSE WHO DO NOT?" Innovation in Aging 7, Supplement_1 (2023): 710. http://dx.doi.org/10.1093/geroni/igad104.2302.

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Abstract Enabling older people to remain in and return to their homes after hospitalization or institutionalization (i.e., admission to care institutions, such as nursing homes), if they wish so, is a key principle of aging-in-place worldwide. This prospective cohort study examined the characteristics of older people who returned to their homes after hospitalization or their stay at other care facilities. The study started with 1,450 older persons (≥75 years) receiving home care services at multiple places in Japan. Data were collected at the baseline and 6-month follow-ups. The study was appr
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Dupraz, Julien, Karen Andersen-Ranberg, Stefan Fors, et al. "Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international 5-COOP study." BMJ Open 10, no. 3 (2020): e034296. http://dx.doi.org/10.1136/bmjopen-2019-034296.

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ObjectivesTo measure the use of healthcare services and assistive devices by centenarians in five countries.DesignCross-sectional study using a survey questionnaire.SettingCommunity-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark.Participants1253 participants aged 100 or in their 100th year of life, of whom 1004 (80.1%) were female and 596 (47.6%) lived in institutions.Main outcome measuresRecent use of medical visits, nursing care at home, home-delivered meals, acute care hospital stays overnight, professional assessments such as sight test
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Yamauchi, Yasuhiro. "Decomposing Cost Efficiency in Regional Long-term Care Provision in Japan." Global Journal of Health Science 8, no. 3 (2015): 89. http://dx.doi.org/10.5539/gjhs.v8n3p89.

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<p>Many developed countries face a growing need for long-term care provision because of population ageing. Japan is one such example, given its population’s longevity and low birth rate. In this study, we examine the efficiency of Japan’s regional long-term care system in FY2010 by performing a data envelopment analysis, a non-parametric frontier approach, on prefectural data and separating cost efficiency into technical, allocative, and price efficiencies under different average unit costs across regions. In doing so, we elucidate the structure of cost inefficiency by incorporating a me
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Abe, Kazuhiro, Yasuki Kobayashi, Akira Kawamura, Haruko Noguchi, Hideto Takahashi, and Nanako Tamiya. "The Association between Continuation of Home Medical Care and Utilization of Other Home Care Services for Older People with Long-term Care Insurance in Japan." An Official Journal of the Japan Primary Care Association 41, no. 1 (2018): 2–7. http://dx.doi.org/10.14442/generalist.41.2.

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Honda, Ayumi, Elizabeth Fauth, Yin Liu, and Sumihisa Honda. "Predictors of Effort-Reward Imbalance Among Employees Providing Three Types of Long-Term Care Services in Japan." Innovation in Aging 4, Supplement_1 (2020): 183–84. http://dx.doi.org/10.1093/geroni/igaa057.594.

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Abstract Increasingly, employees are leaving their jobs as long-term care workers in Japan. The purpose of this study was to identify predictive factors of effort-reward imbalance (ERI) among employees in long-term care, to better understand factors associated with excessive effort and reduced reward. This cross-sectional study included 944 participants providing three types of long-term care: home-based (n=201), community-based (n=128), and institutional (n=615). Multiple logistic regression analysis was used to identify factors associated with self-reported ERI, where higher ERI scores indic
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Jang, Aeji, Yeonjung Lee, and Young Choi. "SOCIALIZING CARE FOR OLDER PEOPLE ACROSS THE COUNTRIES: A COMPARATIVE STUDY OF THE LOCATION OF CARE." Innovation in Aging 7, Supplement_1 (2023): 1154. http://dx.doi.org/10.1093/geroni/igad104.3704.

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Abstract As more people are likely to prefer to age in their own place, where and how the care in later life is provided become more important. This paper aims to compare the degree of socialization in care for older people among different countries, especially focusing on the location of care (i.e., home care and institutional care). We applied the Fuzzy-set Ideal Type Analysis to classify the countries depending on how the formal care is provided between home and institutional settings. Measures of socialization in home care include the national expenditure on home care and the number of for
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Jin, Xueying, Takahiro Mori, Mikiya Sato, Taeko Watanabe, Haruko Noguchi, and Nanako Tamiya. "Individual and regional determinants of long-term care expenditure in Japan: evidence from national long-term care claims." European Journal of Public Health 30, no. 5 (2020): 873–78. http://dx.doi.org/10.1093/eurpub/ckaa065.

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Abstract Background Japan, with the oldest population in the world, faces a financial challenge caused by rising long-term care (LTC) expenditure. For policymakers to address this, it is important that we have a better understanding of how individual and regional characteristics affect LTC expenditure. Methods We linked national LTC insurance (LTCI) claim data, covering the entire population who used LTCI services in Japan, with municipality data on an individual level. Individuals 65 years and older (n=3 876 068) who had used LTCI benefits at least once in the fiscal year (FY) 2016 were inclu
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Kim, Sung-A., Akira Babazono, Aziz Jamal, Yunfei Li, and Ning Liu. "Comparison of care utilisation and medical institutional death among older adults by home care facility type: a retrospective cohort study in Fukuoka, Japan." BMJ Open 11, no. 4 (2021): e041964. http://dx.doi.org/10.1136/bmjopen-2020-041964.

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ObjectivesWe compared the care services use and medical institutional deaths among older adults across four home care facility types.DesignThis was a retrospective cohort study.SettingWe used administrative claims data from April 2014 to March 2017.ParticipantsWe included 18 347 residents of Fukuoka Prefecture, Japan, who received home care during the period, and aged ≥75 years with certified care needs of at least level 3. Participants were categorised based on home care facility use (ie, general clinics, Home Care Support Clinics/Hospitals (HCSCs), enhanced HCSCs with beds and enhanced HCSCs
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Kumaoka, Minoru, Takako Tsutsui, and Miho Takechi. "A study of the impact of services used by the elderly on changes in the level of care required." International Journal of Integrated Care 25 (April 9, 2025): 142. https://doi.org/10.5334/ijic.icic24384.

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Introduction: Since the long-term care insurance system (LTCIS) was introduced in Japan in 2000, both the number of the eligible recipients of care and the total cost of the system have been risen from 2.18 million to 6.44 million, three times, over the past 18 years. In view of the sustainability of this system, the most recent discussions on this system have considered restricting recipients' access to services. The principle of the manegement measures should be the optimisation of each recipients' long-term care services, but the basis for 'optimisation' remains unclear. This study focuses
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Kanai, Hideaki, and Akinori Kumazawa. "An Information Sharing System for Multi-Professional Collaboration in the community-based integrated healthcare system." International Journal of Informatics, Information System and Computer Engineering (INJIISCOM) 2, no. 1 (2021): 1–14. http://dx.doi.org/10.34010/injiiscom.v2i1.4862.

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Currently, Japan is rapidly aging. Japanese government agencies report that the percentage of elderly people whose ages are at least 65 years will increase by up to about 30 percent in 2025. As one of the measures towards this situation, the community-based integrated healthcare system will be introduced in Japan. The system aims to provide elderly people living at home with appropriate health, medical, and welfare services. We focus on the burden of sharing information on the situation of the elderly at home among health, medical, welfare staffs, and neighbors. We have been developing a suppo
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Chen, Xin, Tian Zheng, and Yong Zhou. "New Trend in Facilities for the Elders in Japan - Small Multi-Care Facilities." Applied Mechanics and Materials 357-360 (August 2013): 43–46. http://dx.doi.org/10.4028/www.scientific.net/amm.357-360.43.

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Recently, the Japanese government is actively advocating the form of facilities for the elders, the small multi-care facilities, which is in close relation with the residents in surrounding communities. It is to provide diverse services for the elders mainly by daytime caring, as well as the night accommodation, residence and home caring. This paper mainly introduces the background of these facilities, design concept and key points in design, to provide reference for designing and building of facilities in our country.
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Furukawa, Kazutoshi. "Development of a care management support system for preventing severe disease in elderly people requiring long-term care and enabling their continued living at home: Results of a questionnaire survey to identify assessment items." International Journal of Integrated Care 23, S1 (2023): 044. http://dx.doi.org/10.5334/ijic.icic23021.

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In Japan, it is common for individual elderly patients requiring long-term care to use multiple home care services in order to continue living at home. However, the details of the services provided and patients’ conditions at the time of care are not shared among the service providers.
 To address this issue, our research team aims to develop a website that collectively manages care information, predicts declines in activities of daily living (ADL) based on artificial intelligence (AI) analysis, and if necessary, automatically sends reports to service providers and the care manager in cha
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Shinohara, Masumi, Mariko Sakka, Taisuke Yasaka, et al. "Association between Advance Care Planning for Older Adults and Family Caregivers’ Sense of Security in Home Care Settings: A Prospective Cohort Study." Health & Social Care in the Community 2023 (April 3, 2023): 1–11. http://dx.doi.org/10.1155/2023/4250408.

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Family caregivers’ sense of security benefits older adults who receive home care. Advance care planning (ACP) is reported to affect family caregivers’ experience positively, but it might differ depending on family caregivers’ kin relationships with the older adults. This study aimed to investigate whether ACP for older adults in home care settings is associated with family caregivers’ sense of security and whether such an association depends on the family caregivers’ status as spouses or adult children. Clarifying this association may offer practical support for implementing ACP while maintain
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Hirayama, Ryo. "Who Should Make Care Arrangement for Older Adults? Heteronormative Family Responsibility in Japan." Innovation in Aging 5, Supplement_1 (2021): 420. http://dx.doi.org/10.1093/geroni/igab046.1628.

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Abstract In Japan, despite the greater availability of public care services upon implementation of national long-term care insurance, families are still considered as primarily responsible to make care arrangement for older adults. My aim in this study was to explore (hetero)normative ideas about families that underlie Japan’s institutionalized practices of elder care. In doing so, I focused on care managers, who are certified care practitioners helping families to make care arrangement, and whether they would count older adults’ same-sex partners as legitimate family members to participate in
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Kim, Heekyoung, and John W. Traphagan. "From Socially Weak to Potential Consumer: Changing Discourses on Elder Status in South Korea." Care Management Journals 10, no. 1 (2009): 32–39. http://dx.doi.org/10.1891/1521-0987.10.1.32.

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This article explores social and political dimensions associated with providing care for elders in South Korea. We look at changes in welfare policy since the 1980s and discuss the emergence of a long-term care insurance program in Korea similar to the program promulgated in Japan in 2000. We argue that while the status of South Korean elderly is undergoing change as new policies provide opportunities for elders to move from positions of dependency to increased independence as consumers of health care services, there are some reasons for concern. The capacity of elders to function as consumers
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Kim, Junghyun, and Hyejin Nam. "Perspectives on Importing the Foreign Workers in the Care Services for Older Adults: Case Studies on Taiwan and Japan." Korean Journal of Research in Gerontology 32, no. 3 (2023): 247–64. http://dx.doi.org/10.25280/kjrg.32.3.5.

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In Korea, the demand of care services for the older adults is increasing significantly due to the rapid aging of the population. However, the number of caregivers who can provide the services is also rapidly decreasing, resulting in failing to keep up with the demand. Recently, the Korean government began to consider importing foreign workers into the older adults’ care sector to respond to this situation. Accordingly, this study analyzed cases from neighboring countries to seek ways to import the foreign workers into the sector in Korea. Specifically, following the analyses of the cases of Ta
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Naoe, Miwako, and Yasuhiro Kawahara. "Effective Social Support to Enable Older Adults Living Alone in Japan to Continue Living at Home." International Journal of Environmental Research and Public Health 22, no. 7 (2025): 1084. https://doi.org/10.3390/ijerph22071084.

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Japan has the world’s fastest-aging population. The number of older adults living alone has increased rapidly; however, the number of people waiting for nursing care facilities is high, especially in urban areas, and home care is unavoidable. Few studies have focused on older adults living alone who require nursing care, and almost no reports have examined the factors influencing the continuation or discontinuation of living alone. Furthermore, no reports were found that classified nursing care levels for the survey. This study’s purpose was to clarify what kind of long-term care for older adu
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Miyazaki, Motonobu, Takuya Imatoh, and Hiroshi Une. "The treatment of infectious waste arising from home health and medical care services: Present situation in Japan." Waste Management 27, no. 1 (2007): 130–34. http://dx.doi.org/10.1016/j.wasman.2005.12.018.

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Yoshimatsu, Keiko, and Hisae Nakatani. "Home Visiting Nurses’ Job Stress and Error Incidents." Home Health Care Management & Practice 32, no. 2 (2020): 110–17. http://dx.doi.org/10.1177/1084822319899392.

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The current study examined the relationship between home visiting nurses’ job stress and error incidents to provide a better understanding of risk management for home visiting nursing services. Home visiting nurses often perform patient care alone, under great mental and physical stress, increasing the risk of human error when executing tasks. A mail survey was distributed to 437 home visiting nurses working at agencies in 71 locations in Japan. The questionnaires were anonymously completed and included items on career history, experiences of job stress, and experiences of incidents. Answers w
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Ida, E., M. Miyachi, M. Uemura, M. Osakama, and T. Tajitsu. "Current status of hospice cancer deaths both in-unit and at home (1995–2000), and prospects of home care services in Japan." Palliative Medicine 16, no. 3 (2002): 179–84. http://dx.doi.org/10.1191/0269216302pm511oa.

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Goto, Yuko, and Hisayuki Miura. "Intermediate Care for Patient-Centered Care, Shared Decision Making, and Hospital Discharge Support in a Japanese Acute Care Hospital: A Cross-Sectional Study." Hospitals 1, no. 1 (2024): 32–49. http://dx.doi.org/10.3390/hospitals1010004.

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[Background] Intermediate care is a limited-time service founded on patient-centered care (PCC) that ensures continuity and quality of care during the transition between home and acute care services, promotes recovery, and restores independence and confidence. In Japan, systematic education on intermediate care for care providers is lacking. [Method] The present study explored the relationship between a Japanese scale used to evaluate individualized discharge support skills, a Japanese version of a tool for evaluating intermediate care based on PCC, and a tool that measures the shared decision
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Aung, Myo Nyein, Motoyuki Yuasa, Yuka Koyanagi, et al. "Sustainable health promotion for the seniors during COVID-19 outbreak: a lesson from Tokyo." Journal of Infection in Developing Countries 14, no. 04 (2020): 328–31. http://dx.doi.org/10.3855/jidc.12684.

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The COVID-19 pandemic is novel corona virus infection outbreak that has gone global in 2020. Current prevention policies consist of hand hygiene and social distancing. Emergencies overloaded health services and shocked the logistics chains in many countries, especially Italy and China. Having more than a quarter of its population being elderly, Japan is at high risk for COVID-19 induced morbidity and mortality.
 This situation cancelled schedules of all routine group exercise activities for the seniors in Japan. While the outbreak is ongoing, staying at home is safe. However, successive d
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Naito, Hidemune. "The Japanese Health-Care System and Reimbursement for Dialysis." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 26, no. 2 (2006): 155–61. http://dx.doi.org/10.1177/089686080602600206.

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Like most countries, Japan is facing constraints on expansion of health system financial resources. There are almost 250000 Japanese patients with end-stage renal disease and almost all are managed by chronic dialysis. Hospital hemodialysis is the modality used by 96% of these patients. The Japanese health-care system has tended to support resource-intensive treatments because the fee-for-service remuneration system has rewarded their utilization. This has benefited hemodialysis at the expense of peritoneal dialysis. However, this may now be changing. Case management and global budget-related
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HAYASHI, MAYUMI. "The Japanese voluntary sector's responses to the increasing unmet demand for home care from an ageing population." Ageing and Society 36, no. 3 (2014): 508–33. http://dx.doi.org/10.1017/s0144686x14001238.

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ABSTRACTAs Japan faces the challenge of the increasing demand for home care from its ageing population in an era of economic constraints, the expectation has evolved that the voluntary sector will fill the shortfall in statutory provision through semi-volunteers providing affordable home care. Drawing on qualitative interviews with managers from 15 voluntary organisations, this article explores their experiences in trying to meet this expectation. Even though most organisations provided supplementary home-care services, the empirical evidence indicates a limited capacity to deliver this expect
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