This presentation is based on a semester-long research on summarizing elderly living arrangements in Japan. The results were resented at a symposium held by Penn State Smart Space Center in April, 2009
8. Public Care --Long-term Care Kaigo Hoken: Long-term Care insurance policy (2000) Cause and Goal Benefits: both at home and at facilities Eligibility: 65+ and 40-65 with disabilities Financing: pay-as-you-go Co-payment: 10% for the users Providers: mainly non-profit
10. Technology --Robot Nurse Issue: facing a serious shortage of caregivers Robot Nurse Japanese robot nurse Source: www.medindia.net
11. Technology --“Paro” Mental Commitment Robot Seal robot “Paro” vs. Alzheimer’s Disease Paro at nursing home in Japan Source: http://paro.jp/english/therapy.html Robot “Paro”
12. Conclusion A rise in living standard and drop in fertility rate are the fundamental basis of increased life expectancy. Japan’s social security system has played a large role in extending the life of the elderly. There are struggles existing in who should take care of the elderly. Technological support will be more important.
In today’s presentation I want to especially emphasize on the facts behind the longevity in Japanincome 2. health care system.
As you might know,Japan has the most elderly people in the world. The census of 2005 showed the proportion of those 65 or over has exceeded 20 per cent. And the proportion of aging population will keep increasing, since the baby boomer generation after WW II is being older.
So what caused the Japanese society getting old? The first reason the drop of fertility rate. Why is the fertility dropping constantly? Because women are working more and marrying later. Also the child-rearing expensesis high especially in big cities and young couples usually do not earn much. Therefore less babies were born in recent years. In cities in Japan, many young couples have financial problems to raise children because wages in Japan is often linked to ages, and housing and education costs are high. Also, mothers-to-be have little supports from their workplaces. Some pregnant women end up quitting in small and medium firms.
The long term care insurance is also a big component of social security. In Japan, elderly patients in average tend to live in hospital for a long time. This led to a rapid growth of medical costs as well as insufficient. This policy tries to reduce average duration of hospitalization by facilitating in-home care.The benefits of the insurance include in-home services, such as home-visit bathing and nursing care. It also include services at facilities for nursing homes, including welfare facilities, health facilities and medical facilities.All persons 65+ and 40-65 with health disabilities are eligible. After assessment they are assigned category 1-6, $600 to $3600 FinancingThis program is financed by levying 0.9% premium on monthly income from people who are 40-64, as well as deductingan average of US$23 from pensions for people who are 65 and overProvidersonly nonprofit providers are allowed to offer institutional care services, for-profit providers were allowed to enter theat-home care marketThe primary and official goal of the policy was to meet the challenge of a rapidly aging society (Ikegami et al, 2003). Everyone age 65 or older, regardless of income and assets and whether familial support is available, is eligible for assistance. This assistance is based on an. Based on the placement of six levels, one can get from $600 to $3600 per month, which are sufficient enough to pay for the services cost. With their entitled amount, individuals can alsochoose among agencies or facilities, and choose service mix of social and health services in community care (Ikegami et al, 2003). Almost all the care providers are nonprofit (Wiener et al, 2007). This program is financed by levying 0.9% premium on monthly income from people who are 40-64, as well as deducting an average of US$23 from pensions for people who are 65 and over (Ikegami et al, 2003). health-care system is based on health insurance contributionseveryone is guaranteed equal access to medical care; no discrimination
Japanese nursing homes provides the great convenience for elderly who choose to be cared in communities. Nurses take time talk to old people and make them feel less lonely.Japan is also developing in-home care for elderly who want to be cared at home. Nurses who have been strictly trained provide various services to help elderly with daily life or disease recovery.