ArticleInternational journal of health policy and management2020
Aging, Pensions and Long-term Care: What, Why, Who, How? Comment on "Financing Long-term Care: Lessons From Japan".
Article in International journal of health policy and management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- The system effect and group benefit equity of long-term care insurance from the perspective of short-term policy pilot.Frontiers in public health · 2025Article
- How do the older adults in nursing homes live with dignity? A protocol for a meta-synthesis of qualitative research.BMJ open · 2023Article
- Job Satisfaction and Perceived Importance of Oral Medicine Amongst Dentists.International dental journal · 2022Article
- Evaluating the long-term care insurance policy from medical expenses and health security equity perspective: evidence from China.Archives of public health = Archives belges de sante publique · 2022Article
- Cost-Free LTC Model Incorporated into Private Pension Schemes.International journal of environmental research and public health · 2021Article
- Key Issues in Designing Long-term Care Systems: A Response to Recent Commentaries.International journal of health policy and management · 2020Article
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2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Japan has been aging faster than other industrialized nations, and its experience offers useful lessons to others. Japan has been willing to expand its welfare state with a long-term care (LTC) insurance to finance home care and nursing home care for frail elderly. As Ikegami shows, it created new facilities and expanded specialized staffing for home care, developed a country-wide assessment system and shifted responsibilities between the central and local authorities over that assessment and the determination of co-payments for LTC. Faced with rapid growth in demand for LTC, the government felt the need for new cost control measures. The Japanese experience illustrates that new social policies take time to develop. There is often a need to adjust. But there are also other lessons. The main one is that there is no direct relation between the degree of population aging and total health spending. While aging requires adjustments in the organization of care, and expanding LTC for frail elderly, international studies show there is no need to worry about the 'unaffordability' of aging. In this commentary, we have framed four "What, Why, Who, and How" questions about LTC to (re-)define the borderlines between public and private responsibilities for the range of activities for which some (but certainly not all) frail elderly as well as many non-elderly require support in daily life.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.