scholarly journals A Study on the Integration of Multiple Subjects in Financial Supply of Traditional Chinese Medicine for Long-term care

2020 ◽  
Vol 214 ◽  
pp. 03047
Author(s):  
SU Bo ◽  
FENG Si-qi ◽  
GUAN Cui-ling
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Long Term Care ◽  
Financial Burden ◽  
The Elderly ◽  
Term Care ◽  
Social Risks ◽  
The Social ◽  
External Forces

China is a country with an aging population, and the social risks brought by the incapacitated elderly and demented elderly are constantly increasing. It is difficult for families to bear the financial burden of long-term care for the incapacitated elderly and demented elderly independently, so they must rely on external forces to provide financial support for long-term care. The advantages of Traditional Chinese Medicine in the treatment and rehabilitation of senile diseases are increasingly prominent, but there is still a lack of integration between Traditional Chinese Medicine services and long-term care of the elderly, which should guide social subjects to enter the field of long-term care of the elderly in Traditional Chinese Medicine. This paper analyzes the feasibility of “3+1” model in which multiple subjects, such as family, government, market, charity and public welfare organizations, share the financial burden of long-term care for the incapacitated elderly and demented elderly, and studies the construction of an effective financial supply integration mechanism.

scholarly journals Institutionalization of long-term care for the elderly: the experience of St. Petersburg

2021 ◽  
Vol 7 (2) ◽  
pp. 194
Author(s):  
Galina V. Kolosova
Keyword(s):  
Social Services ◽  
Long Term Care ◽  
Institutional Development ◽  
The Elderly ◽  
Term Care ◽  
Care For The Elderly ◽  
The Social ◽  
The Family ◽  
Mechanisms Of Formation

The increase in life expectancy and the growth of the elderly population in the Russian Federation, including in St. Petersburg, dictates the need for changes in the areas of social services and health care. This is not surprising, aging today has become a global process that has different mechanisms of formation and differs by country and territory. But the sociological theoretical study of the topic of aging is still insufficient. European states rely on demographic trends, which determine a new approach to assessing the available resources, prospects for the development and improvement of social service systems in the direction of long-term care for the elderly. It is important, while maintaining continuity in the work of the social services established in the 1990s, to actively include the family, NGOs and volunteerism in the development of these institutions. The purpose of this article is to analyze the achievements and barriers to the institutional development of long - term care for the elderly in St. Petersburg. Methodically, the article is based on the analysis of legal acts regulating the development of long-term care, mainly in St. Petersburg. For the care system to take shape, it requires the participation of families, NGOs and volunteer resources, as well as the study of the best Russian and international experience.

scholarly journals Changing social burden of Japan’s three major diseases including Long-term Care due to aging

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Koki Hirata ◽  
Kunichika Matsumoto ◽  
Ryo Onishi ◽  
Tomonori Hasegawa
Keyword(s):  
Heart Disease ◽  
Chronic Diseases ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Content Type ◽  
Social Burden ◽  
The Social ◽  
Mortality Cost

PurposeThe purpose of this article is to clarify the social burden of Japan’s three major diseases including Long-term Care (LTC) burden.Design/methodology/approachA modification of the Cost of Illness (COI)—the Comprehensive-COI (C-COI) was utilized to estimate three major diseases: cancer, heart disease, and cerebrovascular diseases (CVD). The C-COI consists of five parts: medical direct cost, morbidity cost, mortality cost, formal LTC cost and informal LTC cost. The latter was calculated by two approaches: opportunity cost approach (OC) and replacement approach (RA), which assumed that informal caregivers were substituted by paid caregivers.FindingsThe C-COI of cancer, heart disease and CVD in 2017 amounted to 10.5 trillion JPY, 5.2 trillion JPY, and 6.7 trillion JPY, respectively (110 JPY= 1 US$). The mortality cost was preponderant for cancer (61 percent) and heart disease (47.9 percent); while the informal LTC cost was preponderant for CVD (27.5 percent). The informal LTC cost of the CVD in OC amounted to 1.8 trillion JPY; while the RA amounted to 3.0 trillion JPY.Social implicationsThe LTC burden accounted for a significant proportion of the social burden of chronic diseases. The informal care was maintained by unsustainable structures such as the elderly providing care for the elderly. This result can affect health policy decisions.Originality/valueThe C-COI is more appropriate for estimating the social burden of chronic diseases including the LTC burden and can be calculated using governmental statistics.

Status and Degree of Dysphagia in the Elderly-A Comparison Study of Long-Term Care Elderly People in an Outpatient Clinic

2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  
Keyword(s):  
Elderly People ◽  
Outpatient Clinic ◽  
Long Term Care ◽  
The Elderly ◽  
Comparison Study ◽  
Term Care

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

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.

A Model for Working with the Elderly in Institutions

1981 ◽  
Vol 62 (7) ◽  
pp. 420-425 ◽  
Author(s):  
Alicia S. Cook
Keyword(s):  
Theoretical Model ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Human Needs

Abraham Maslow's hierarchy of human needs provides a useful operating framework for professionals working with residents of long-term care institutions. The difficulties and obstacles that the elderly often encounter in these facilities are addressed and discussed for each level of the theoretical model.

A Study of Patterns of Dying in a Multilevel Geriatric Setting

1983 ◽  
Vol 2 (2) ◽  
pp. 79-85
Author(s):  
Isabel Brown
Keyword(s):  
Retrospective Study ◽  
Long Term Care ◽  
Death And Dying ◽  
Chronically Ill ◽  
The Elderly ◽  
Care Hospital ◽  
Term Care ◽  
Apartment Complex ◽  
General Community

ABSTRACTA retrospective study was conducted in a large multilevel geriatric centre to analyse the deaths reported in the year 1981. This centre provides accommodation for 750 elderly and/or chronically ill persons in three agencies—an apartment complex, a home for the aged, and a long-term care hospital The study revealed that the hospital is the place of death for a high proportion of the elderly residents of the centre. In particular, residents of the home for the aged are unlikely to remain in the “home” to die. It was found that patterns of death and dying for individuals admitted to the hospital from the general community differ in several ways from the patterns of those who are already living in the centre in terms of age and probable cause of death.

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