scispace - formally typeset
Search or ask a question
Topic

Long-term care insurance

About: Long-term care insurance is a research topic. Over the lifetime, 1254 publications have been published within this topic receiving 18306 citations.


Papers
More filters
Book
01 Jan 2011
TL;DR: This work is published on the OECD iLibrary, which gathers all OECD books, periodicals and statistical databases.
Abstract: Colombo, F., et al. (2011), Help Wanted?: Providing and Paying for Long-Term Care, OECD Health Policy Studies, OECD Publishing. http://dx.doi.org/10.1787/9789264097759-en This work is published on the OECD iLibrary, which gathers all OECD books, periodicals and statistical databases. Visit www.oecd-ilibrary.org, and do not hesitate to contact us for more information. Help Wanted? PROVIDING AND PAYING FOR LONG-TERM CARE

988 citations

Journal ArticleDOI
TL;DR: Three years after implementation, the LTCI system and its needs‐assessment/certification system have been well accepted in Japan and there remain challenges, including area variations, growing demands for services, and the difficulty of keeping the needs certification free of politics.
Abstract: 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.

495 citations

Journal ArticleDOI
TL;DR: Analysis of national survey data before and after the LTCI programme started shows increased use of formal care at lower cost to households, with mixed results for the wellbeing of carers.

432 citations

Journal ArticleDOI
TL;DR: Japan has moved decisively toward "socialization of care" for the frail elderly by initiating public, mandatory long-term care insurance (LTCI) on 1 April 2000, which covers both institutional and community-based caregiving.
Abstract: Japan has moved decisively toward "socialization of care" for the frail elderly by initiating public, mandatory long-term care insurance (LTCI) on 1 April 2000. The LTCI program covers both institutional and community-based caregiving. Everyone age forty and older pays premiums. Everyone age sixty-five and older is eligible for benefits based strictly on physical and mental disability, in six categories of need. Benefits are all services, with no cash allowance for family care, and are generous, covering 90 percent of need. Long-term costs seemed not to be a major consideration in program design. Consumers can choose the services and providers they want, including use of for-profit companies.

355 citations


Network Information
Related Topics (5)
Health care
342.1K papers, 7.2M citations
72% related
Health policy
79.6K papers, 2M citations
70% related
Dementia
72.2K papers, 2.7M citations
69% related
Unemployment
60.4K papers, 1.3M citations
69% related
Socioeconomic status
35K papers, 1.2M citations
68% related
Performance
Metrics
No. of papers in the topic in previous years
YearPapers
202347
202272
202156
202053
201958
201855