Care-needs certification in the long-term care insurance system of Japan.

Care-needs certification in the long-term care insurance system of Japan. Research Abstract Details 

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Care-needs certification in the long-term care insurance system of Japan. Abstract Text:

The introduction of Japan's long-term care insurance (LTCI) system in April 2000 has made long-term care an explicit and universal entitlement for every Japanese person aged 65 and older based strictly on physical and mental status. At the start of the program, more than two million seniors were expected to apply for services to approximately 3,000 municipal governments, which are the LTCI insurers. The LTCI implementation required a nationally standardized needs-certification system to determine service eligibility objectively, fairly, and efficiently. The current computer-aided initial needs-assessment instrument was developed based on data collected in a large-scale time study of professional caregivers in long-term care institutions. The instrument was subsequently tested and validated by assessing data of 175,129 seniors involved in the national model programs before the start of LTCI. The computer-aided initial assessment (an 85-item questionnaire) is used to assign each applicant to one of seven need levels. The Care Needs Certification Board, a committee of medical and other professionals, reviews the results. Three years after implementation, the LTCI system and its needs-assessment/certification system have been well accepted in Japan. Despite the overall successes, there remain challenges, including area variations, growing demands for services, and the difficulty of keeping the needs certification free of politics. The LTCI computer network that links municipalities and the central government is instrumental in continuously improving the needs-certification system. Future challenges include promoting evidence-based system improvements and building incentives into the system for various constituencies to promote seniors' functional independence.

Care-needs certification in the long-term care insurance system of Japan. Publishing Authors By Initials

For similar education: needs assessment research abstracts see: education: needs assessment research

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Care-needs certification in the long-term care insurance system of Japan. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of the American Geriatrics Society

VOLUME: 53

Page Numbers: 522-7

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Mar

YEAR: 2005

Care-needs certification in the long-term care insurance system of Japan. Information

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LANGUAGE: eng

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Care-needs certification in the long-term care insurance system of Japan. Keywords Mesh Terms:

KEYWORDS: Needs Assessment

MESH TERMS: standards

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Grant and Affiliation Information for Care-needs certification in the long-term care insurance system of Japan.

AFFILIATION: National Institute of Public Health, Ministry of Health and Welfare, Tokyo, Japan.

Country: United States

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MEDLINETA: J Am Geriatr Soc

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