scholarly journals Dialysis Patients’ Utilization of Health Care Services Covered by Long-Term Care Insurance in Japan

2015 ◽  
Vol 236 (1) ◽  
pp. 9-19 ◽  
Author(s):  
Utako Shimizu ◽  
Yuji Mitadera ◽  
Hagiko Aoki ◽  
Kouhei Akazawa
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Long Term Care ◽  
Dialysis Patients ◽  
Term Care ◽  
Care Services ◽  
Long Term Care Insurance

Co-Opting Voluntarism? Exploring the Implications of Long-Term Care Reform for the Nonprofit Sector in Ontario

10.1068/c0434 ◽  
2005 ◽  
Vol 23 (1) ◽  
pp. 101-121 ◽  
Author(s):  
Mark W Skinner ◽  
Mark W Rosenberg
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Long Term Care ◽  
Market Competition ◽  
Nonprofit Sector ◽  
Public Provision ◽  
Term Care ◽  
Care Services ◽  
Nonprofit Organisations

Within public policy discourse on health care restructuring and voluntarism, the nonprofit sector is now expected to play an active and direct role in the provision of health care services. The viability of the nonprofit sector to take up this role, however, remains unclear. This paper explores the changing role of nonprofit organisations with respect to the provision of long-term care in Ontario, Canada, where extensive restructuring of public services occurred during the 1990s. Drawing on a critical review of legislation, government policies and documents, and stakeholder reports, the authors present a comparative study of two distinct long-term care reform models, featuring public and private provision, respectively, which were developed by ideologically opposed provincial governments. The results indicate that despite unanimous promotion of voluntarism (and the attendant ascendancy of the nonprofit sector) as a central feature of health care restructuring, the divergent reform models actually trap nonprofit organisations between direct incorporation within public provision on the one hand, and direct free-market competition on the other. The findings suggest that underscoring long-term care reform in Ontario, and elsewhere, is the co-option of the nonprofit sector, which resonates with concern for its ability to replace effectively the public provision of health care services. The results also point to the need to conceptualise the consequent actions taken by nonprofit organisations in order to inform current debates surrounding health care restructuring and voluntarism.

The Impacts of Long-Term Care Insurance on Health Care Utilization and Expenditure: Evidence From China

2022 ◽  
Author(s):  
He Chen ◽  
Jing Ning
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Treatment Effect ◽  
Health Expenditure ◽  
Long Term Care ◽  
Care Utilization ◽  
Ageing Population ◽  
Term Care ◽  
Long Term Care Insurance

Abstract Long-term care insurance (LTCI) is one of the important institutional responses to the growing care needs of the ageing population. Although previous studies have evaluated the impacts of LTCI on health care utilization and expenditure in developed countries, whether such impacts exist in developing countries is unknown. The Chinese government has initiated policy experimentation on LTCI to cope with the growing and unmet need for aged care. Employing a quasi-experiment design, this study aims to examine the policy treatment effect of LTCI on health care utilization and out-of-pocket health expenditure in China. The Propensity Score Matching with Difference-in-difference approach was used to analyse the data obtained from four waves of China Health and Retirement Longitudinal Study (CHARLS). Our findings indicated that, in the aspect of health care utilization, the introduction of LTCI significantly reduced the number of outpatient visits by 0.322 times (p<0.05), the number of hospitalizations by 0.158 times (p<0.01), and the length of inpatient stay during last year by 1.441 days (p<0.01). In the aspect of out-of-pocket health expenditure, we found that LTCI significantly reduced the inpatient out-of-pocket health expenditure during last year by 533.47 yuan (p<0.01), but it did not exhibit an impact on the outpatient out-of-pocket health expenditure during last year. LTCI also had a significantly negative impact on the total out-of-pocket health expenditure by 512.56 yuan. These results are stable in the robustness tests. Considering the evident policy treatment effect of LTCI on health care utilization and out-of-pocket health expenditure, the expansion of LTCI could help reduce the needs for health care services and contain the increases in out-of-pocket health care expenditure in China.

Effect of long-term care insurance on communication/recording tasks for in-home nursing care services

2004 ◽  
Vol 38 (2) ◽  
pp. 101-113 ◽  
Author(s):  
Yoshihisa Hirakawa ◽  
Yuichiro Masuda ◽  
Kazumasa Uemura ◽  
Masafumi Kuzuya ◽  
Akihisa Iguchi
Keyword(s):  
Nursing Care ◽  
Long Term Care ◽  
Home Nursing ◽  
Term Care ◽  
Care Services ◽  
Long Term Care Insurance ◽  
Home Nursing Care

scholarly journals Pflegebedürftigkeit in Deutschland

2020 ◽  
pp. 239-277
Author(s):  
Sören Matzk ◽  
Chrysanthi Tsiasioti ◽  
Susann Behrendt ◽  
Kathrin Jürchott ◽  
Antje Schwinger
Keyword(s):  
Health Care Services ◽  
Long Term Care ◽  
Age Group ◽  
Health Insurance Data ◽  
Term Care ◽  
Health Service Provision ◽  
Need Of Care ◽  
Care Services ◽  
Insurance Data

Zusammenfassung Zusammenfassung Der Beitrag liefert ein ausführliches Bild zum Stand der Pflegebedürftigkeit und der gesundheitlichen Versorgung der Pflegebedürftigen in Deutschland. Die Analysen basieren auf GKV-standardisierten AOK-Daten. Sie zeigen Prävalenz, Verläufe und Versorgungsformen der Pflege sowie Kennzahlen zur gesundheitlichen Versorgung der Pflegebedürftigen. Im Fokus stehen die Inanspruchnahme von ärztlichen und stationären Leistungen, Polymedikation und Verordnungen von PRISCUS-Wirkstoffen und Psychopharmaka. Die Ergebnisse werden der Versorgung der Nicht-Pflegebedürftigen gleichen Alters gegenübergestellt und differenziert nach Schwere der Pflegebedürftigkeit und Versorgungssetting ausgewiesen. The article provides empirical insights on the scope and state of long-term care services in Germany. This includes health service provision for persons in need of care. The article lays out key figures regarding the prevalence, pathways and forms of care based on standardised AOK statutory health insurance data. An additional focus lies on the use of out- and inpatient health care services as well as on polypharmacy and prescriptions of PRISCUS medication and psychotropic drugs. Findings are contrasted with data on members of the same age group who are not in need of care and discussed in relation to the severity of the need of care and the care provision setting.

Health Insurance Systems as Models for Managing the Increasing Elderly Populations of Japan and Korea

2011 ◽  
pp. 282-294
Author(s):  
Seungwon Jeong ◽  
Yusuke Inoue
Keyword(s):  
Health Care ◽  
Social Services ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Medical Facilities ◽  
Before And After ◽  
Long Term Care Insurance ◽  
The Republic

This chapter looks into the systems and institutions for the elderly population covered by long-term care insurance in Japan and the Republic of Korea (hereafter Korea). It shall discuss the historical changes in policies in these two nations. The Health Care and Welfare Complex elements that make up a single business model for the Health Care and Social Services of the aged in Japan and Korea will also be discussed in this paper. The management environment for medical facilities greatly changed with adjustments in the population structure and the social environment, and this resulted in serious competition between medical facilities for patients. Medical facilities in Japan and Korea showed a rapid increase in comprehensive medical and welfare management. Consequently, there were provisions in both health care and social services through affiliation, chain affiliation and multiplication, before and after the enforcement of long-term care insurance.

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