The Changes and the Current Status Analysis of Home-visit Nursing Services for Persons Requiring Long-term Care ： Approach by Difference in Applied Insurance

Purpose: The National Health Insurance Service implemented a tele-consultation pilot project for in-home care using Information and Communication Technologies (ICTs). This study aims to investigate nurses’, doctors’, and families’ perceptions on the project.Methods: Using the pilot project database and perception survey data, this study provides a description of the satisfaction, re-participation motivation, and experiences of nurses, doctors, and families.Results: Tele-consultation for home-visit nursing was used to monitor health conditions and problems, such as pain and blood pressure, or health counseling for home-care beneficiaries. The beneficiaries' families showed higher levels of satisfaction than the service providers. Nurses and doctors had relatively positive perceptions about the usefulness of sharing information about beneficiaries, timeliness of providing nursing care, and convenience of communication. Meanwhile, nurses and doctors had negative perceptions of the sufficiency and accuracy of information obtained from tele-consultation, implying the necessity of adopting more advanced ICTs.Conclusion: This study suggests what must be considered when designing a tele-consultation service model in long-term care settings, especially in the home-visit nursing care setting. Innovative approaches using ICTs should be taken to improve home-visit nursing care quality in the era of super-aging and COVID-19.

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The Reform of Long-term Care Insurance System And the Current Status and Tasks of Care Prevention Service in Japan - Centering on the Analyses of community comprehensive support center -

Health Service Management Review ◽

10.18014/hsmr.2010.4.2.19 ◽

2010 ◽

Vol 4 (2) ◽

pp. 19-30

Author(s):

Chang-Wan Han ◽

Yasuyoshi SEKITA ◽

Etsuo Horikawa ◽

Toshihiro Fukushima ◽

Masafumi Ide

Keyword(s):

Long Term Care ◽

Current Status ◽

Term Care ◽

Insurance System ◽

Prevention Service ◽

Long Term Care Insurance

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Current Status of the Long-term Care Security System for Older Adults in China

Research on Aging ◽

10.1177/0164027520949117 ◽

2020 ◽

pp. 016402752094911

Author(s):

Peng Du ◽

Tingyue Dong ◽

Jingyao Ji

Keyword(s):

Older Adults ◽

Rural Areas ◽

Service Provision ◽

Long Term Care ◽

Care Service ◽

Security System ◽

Current Status ◽

Term Care ◽

Insurance System

In response to the increasing care demand of older adults and their families, the construction of the long-term care (LTC) security system has been widely recognized by the government, society and families. This article discusses the socio-demographic background, current situation, achievements and issues of this system. The LTC security system in China has achieved considerable progress in enriched service provision and expanded social insurance system pilot programs. However, the issues of unbalanced service provision and the explorative design of the insurance system still need to be resolved. Our recommendations for the development of the LTC security system include comprehensively reviewing the integrated care service system in terms of placing “old adults at the center,” addressing the long-standing divisions between urban and rural areas in service provision and insurance design, advancing research and discussion concerning pilot experiences and improving the unified evaluation and financial planning systems.

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