scholarly journals Diversification of Japanese family caregiving arrangements and the impact on Japanese long term care insurance program

2017 ◽  
Vol 54 (1) ◽  
pp. 35-40
Keyword(s):  
Family Caregiving ◽  
Long Term Care ◽  
Japanese Family ◽  
Term Care ◽  
Insurance Program ◽  
Long Term Care Insurance ◽  
The Impact

scholarly journals Impact of Frailty on Medical and Long-Term Care Expenditures for the Elderly Age 75 or Over in Japan

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 176-176
Author(s):  
Hiroto Yoshida ◽  
Yuriko Kihara
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Elderly Age ◽  
Term Care ◽  
Intentional Weight Loss ◽  
Long Term Care Insurance ◽  
And Gender ◽  
The Impact

Abstract This study examined the impact of frailty on medical and long-term care expenditures in an older Japanese population. The subjects were those aged 75 years and over who responded to the survey (March 2018) in Bibai, Hokkaido, Japan (n=1,203) and have never received certification of long-term care insurance at the survey. We followed up 867 individuals (72.1%) until the end of December 2018 (10 month-period). We defined frailty as a state in performing 4 items and over of 15 items which were composed of un-intentional weight loss, history of falls, etc. Among 867 subjects, 233 subjects (26.9%) were judged to be frailty group, and 634 subjects (73.1%) non-frailty group. We compared period to the new certification of long-term care insurance (LTCI), accumulated medical and long-term care expenditures adjusted for age and gender between the two groups during the follow-up period. Cox proportional hazard models were used to examine the association between baseline frailty and the new certification of LTCI. The relative hazard ratio (HR) was higher in frailty group than non-frailty group (HR=3.51, 95% CI：1.30-9.45, P=.013). The adjusted mean accumulated medical and long-term care expenditures per capita during the follow-up were significantly (P=.002) larger for those in the frailty group (629,699 yen), while those in the non-frailty group were 450,995 yen. We confirmed strong economic impact of frailty in the elderly aged 75 or over in Japan.

scholarly journals The German Long-Term Care Insurance Program: Evolution and Recent Developments

2017 ◽  
Vol 58 (3) ◽  
pp. 588-597 ◽  
Author(s):  
Pamela Nadash ◽  
Pamela Doty ◽  
Matthias von Schwanenflügel
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Insurance Program ◽  
Recent Developments ◽  
Long Term Care Insurance ◽  
Program Evolution
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