Financing Long-term Care: Lessons From Japan (Editorial)

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IKEGAMI NAOKI

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Journal Paper

Paper Information

Journal: International Journal of Health Policy and Management Year:2019 | Volume:8 | Issue:8 Page(s): 462-466

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Information Journal Paper

Title

Financing Long-term Care: Lessons From Japan (Editorial)

Author(s)

IKEGAMI NAOKI | Issue Writer Certificate

Keywords

Long-term Care

Social Insurance

Eligibility Level

Benefit Package

Entitlements

Abstract

Long-term Care (LTC) must be carefully delineated when expenditures are compared across countries because how LTC services are defined and delivered differ in each country. LTC’ s objectives are to compensate for functional decline and mitigate the care burden of the family. Governments have tended to focus on the poor but Germany opted to make LTC universally available in 1995/1996. The applicant’ s level of dependence is assessed by the medical team of the Social Insurance plan. Japan basically followed this model but, unlike Germany where those eligible may opt for cash benefits, they are limited to services. Benefits are set more generously in Japan because, prior to its implementation in 2000, health insurance had covered long-stays in hospitals and there had been major expansions of social services. These service levels had to be maintained and be made universally available for all those meeting the eligibility criteria. As a result, efforts to contain costs after the implementation of the LTC Insurance have had only marginal effects. This indicates it would be more efficient and equitable to introduce public LTC Insurance at an early stage before benefits have expanded as a result of ad hoc policy decisions.

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References

TO WHAT EXTENT IS LONG-TERM CARE REPRESENTATIVE OF ELDERLY CARE? A CASE STUDY OF ELDERLY CARE FINANCING IN LOMBARDY, ITALY

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APA: Copy

IKEGAMI, NAOKI. (2019). Financing Long-term Care: Lessons From Japan (Editorial). INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 8(8), 462-466. SID. https://sid.ir/paper/338725/en

Vancouver: Copy

IKEGAMI NAOKI. Financing Long-term Care: Lessons From Japan (Editorial). INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2019;8(8):462-466. Available from: https://sid.ir/paper/338725/en

IEEE: Copy

NAOKI IKEGAMI, “Financing Long-term Care: Lessons From Japan (Editorial),” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 8, no. 8, pp. 462–466, 2019, [Online]. Available: https://sid.ir/paper/338725/en

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