scholarly journals Elderly care in the society 5.0 and kaigo rishoku in Japanese hyper-ageing society

Author(s):  
Putri Elsy

The Japanese demography is drastically changing. It has seen a rapid increase in the elderly population and a decrease in the birth rate. This caused Japan to be a hyper-ageing society. Japanese’s first Baby-boomers who were born in 1947-1949 are now entering old age. Elderly care is a major problem in Japan. Children and care-workers for elderly parents are scarce. Therefore, the second Baby-boomers (born in 1971-1974) aged 40-50 years old have quit working to care for their elderly parents. This situation is known as ‘kaigo rishoku.’ This study looked into the practice of elderly care in Japanese 5.0 Society. Society 5.0 is a concept developed by Japan. It is human-centred and technology-based. In society 5.0, robots and the internet play an essential role in human life. Therefore, we proposed a critical question: Can robots replace humans to care for the elderly in Society 5.0? This study used the qualitative method with a phenomenological approach and descriptive analysis. The results revealed that although robots can assist elderly care, due to the high cost, only a certain elderly can buy them. Therefore, in order for robots to become caregivers of the future, mass production is needed. Thus, robots can be marketed at relatively lower prices. However, sick elderly who live alone still need human assistance. On the one hand, technology helps human life in Society 5.0. On the other hand, the human touch is still necessary for elderly care.

2020 ◽  
Vol 7 (3) ◽  
pp. 177-185
Author(s):  
Yati Sri Hayati ◽  
Asti Melani Astari

The family has an important role in elderly care at home, where the majority of assistance and long-term care for the elderly is provided by the family. The nurse is responsible for assisting the family in caring for the elderly, so that in the end the family is able to provide elderly care independently at home. This study aims to explore family experiences in caring for the elderly at home. Researchers used qualitative research methods with a phenomenological approach. Data obtained through semi-structured interviews with 6 (six) participants. The research produced 5 themes: care for the elderly is a form of devotion to parents, care for the elderly requires physical and mental readiness, care for the elderly requires knowledge related to the elderly and how to care for the elderly, care for the elderly requires support from extended families, and feel the importance of supporting cadres and health workers. For conclusion, elderly families have a responsibility to meet the needs of the elderly, so that efforts are needed to improve the knowledge and skills of the family in order to properly care for and meet the needs of the elderly.


2013 ◽  
Vol 52 (1) ◽  
pp. 22-33
Author(s):  
Margarita Gedvilaitė-Kordušienė

The paper addresses the questions of demographic ageing at the beginning of the 21st century and the attitudes about who should be responsible for the elderly care in Lithuania. The analysis of age structure changes revealed three ways of demographic ageing: ‘from below’ (the youngest part of the population is decreasing), ‘from above’ (the oldest part of the population is increasing), and decrease of the young working-age population. The analysis of ageing in Lithuania in the context of the EU revealed that Lithuania has moved from the group of the demographically youngest countries to the group of the oldest ones. This has happened in one decade and illustrates rapid ageing in Lithuania. Within such context, the question “Who should be responsible for the elderly care?” is of particular importance. Based on the second wave of the Generations and Gender Survey (conducted in 2009), the responses who should take care of the elderly are contradictory. The biggest part of respondents is in favour of the division of responsibilities for the elderly care between family and society. The same part of respondents considers this to be family responsibility. Meanwhile, financial support is mainly considered to be the responsibility of the society. The analysis of filial responsibilities for elderly parents revealed a high level of normative solidarity. Most respondents agree with the statement where the support type for elderly parents is not defined (i.e. that children should take responsibility for caring for their parents when parents are in need). When the types of support are defined, the respondents are also likely to agree (i.e. children ought to provide financial help for their parents when their parents are having financial difficulties; children should have their parents to live with them when parents can no longer look after themselves). Less agreement was found on the statement requiring the reorganisation of children’s lives in order to fulfil filial responsibilities (i.e. that children should adjust their working lives to the needs of their parents) and on the statement measuring gender division in care provision for elderly parents (i.e. when parents are in need, daughters should take more caring responsibility than sons). The differences in attitudes between children’s, parents’ and grandparents’ generations were not statistically significant. The logistic regressions revealed that significant predictors enhancing the chances of agreement on filial responsibilities are respondents’ gender, age, partnership and occupational statuses and type of residential area.


2011 ◽  
Vol 2 ◽  
Author(s):  
Barbara Fersch ◽  
Per H Jensen

Processes of privatization in home care for the elderly in Denmark have primarily taken the form of outsourcing public-care provisions. The content and quality of services have in principle remained the same, but the providers of services have changed. The welfare state has continued to bear the major responsibility for the provision of elderly care, while outsourcing has allowed clients to choose between public and private providers of care. The major aim of outsourcing has been to empower the frail elderly by providing them with exit-opportunities through a construction of this group as consumers of welfare-state provisions. The central government in Denmark has produced the public-service reform, but the municipalities bear the administrative and financial responsibility for care for the elderly. Further, national policymakers have decided that local authorities (municipalities) must provide to individuals requiring care the opportunities to choose. With this background in mind, this article analyses how national, top-down ideas and the ‘politics of choice' have created tensions locally in the form of municipal resistance and blockages. The article draws on case studies in two Danish municipalities, whereby central politicians and administrative leaders have been interviewed. We have identified four areas of tensions: 1) those between liberal and libertarian ideas and values versus local political orientations and practices; 2) new tensions and lines of demarcation among political actors, where old political conflicts no longer holds; 3) tensions between promises and actual delivery, due to insufficient control of private contractors; and 4) those between market principles and the professional ethics of care providers.


China Report ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 334-353
Author(s):  
Zhu Bifan ◽  
Li Fen ◽  
Wang Linan ◽  
Wang Changying ◽  
Jin Chunlin

This study aims to summarise the characteristics of elderly care system and analyse expenditures of healthcare for the elderly in Shanghai. The authors use medical records of 2015 and health account results of 2014 based on System of Health Accounts 2011 to describe the pattern of care expenditures for elderly. Individuals aged 60 years and above account for 19.5 per cent of Shanghai’s population but utilise 52.2 per cent of all outpatient visits and 45.3 per cent of all hospitalisations. Almost two-thirds of their medical expenditures occur in hospitals and 16 per cent in community health centres, corresponding to the status of resource allocation. The out-of-pocket payment ratio of the elderly is lower than that of the younger adults, which is attributable to the preferential reimbursement polices set by the insurance schemes. The leading causes of expenditures are cardiovascular disease, neoplasms and respiratory diseases. Care for the elderly costs more, and the elderly use more services than other age groups. The article recommends the monitoring of irrational utilisation of services, strengthening of primary level care and integration of services across different facilities to streamline care for elderly in Shanghai.


2018 ◽  
Vol 21 (1) ◽  
pp. 35-43
Author(s):  
Barbara Martins Corrêa da Silva ◽  
Célia Pereira Caldas ◽  
Helena Maria Shchelowski Leal David ◽  
Michel Jean Marie Thiollent

Abstract Objective: to analyze the proposal of an action plan created by nurses to deal with difficulties in caring for the elderly. The aim of the present study was therefore to analyze the difficulties that family caregivers find in relation to access to services, material resources and the support network when meeting the care needs of the elderly in accordance with Brazilian public policy. Method: the methodology of participatory research and content analysis proposed by Bardin was used. The context was the Geriatric service of a university hospital. The group of co-researchers included eight nurses and 12 caregivers of elderly people with dementia. Results: the following categories emerged from the analysis: contradictions and work proposals. The contradictions category revealed reflections about the difference between the proposed care for the elderly and the reality of a lack of care and the precarious conditions of health services. This situation leads to overburdening of caregivers. The work proposals refer to the strategies used by nurses to establish a relationship of support to family caregivers to cope with the difficulties involved in care for the elderly. Conclusion: nurses recognize that they are professionals capable of receiving, listening to and managing the needs of family caregivers of the elderly, thus promoting the health of the elderly and the caregivers themselves, preparing the family of the patient for home care and coping with difficulties experienced in elderly care.


Author(s):  
Patience E. Ukiri Mudiare

In Nigeria, it is expected that children take care of their parents in their old age. However, it is increasingly becoming more difficult for children to cater for their aged parents who are not economically buoyant. Because of filial piety, the idea of putting one’s parents in an institution like old people’s home is an anathema for most people. Yet the need for such homes and other specialized care for the elderly is obvious in the light of the burden being experienced by women who are the major primary caregivers. This study of an Old People’s Home in Kano revealed that other than the accommodation and feeding provided, there are no specialized programmes and facilities to cater for the physical, mental and social needs of the elderly. Gender segregation is enforced but no consideration is given to differences in age, physical and developmental challenges. This highlights the urgent need for the Nigerian government to take more proactive measures in its policy on ageing by making provisions for long-term care facilities, residential arrangements with assisted living facilities, and adult day care centres with competent personnel.


2000 ◽  
Vol 6 (4) ◽  
pp. 636-643
Author(s):  
G. Hafez ◽  
K. Bagchi ◽  
R. Mahaini

To update our understanding of the status of elderly health care within the context of the Eastern Mediterranean Regional Office’s Strategy Paper on Elderly Care (1995), a short questionnaire was sent to all Member States of the Region, except Afghanistan and Somalia. The questionnaire sought information on the proportion of the elderly in the population, the status of health care and the level of economic, social, cultural and physical assistance available to the elderly. Of the 21 countries in the survey, 18 (86%) responded. The findings of the survey are discussed here under the headings of demography, national policies on elderly care, social benefits, health care, social and community services, economic burden and the role of the non-government sector


2013 ◽  
Vol 6 (1) ◽  
pp. 31-60 ◽  
Author(s):  
Iwona Sobis

Abstract Reforms of the public sector, conducted in the spirit of NPM since the 1990s, are frequently studied by Western and Eastern scholars. The research shows national variations in how the NPM idea was translated and adapted into a country’s context and regulations. Care for the elderly is an interesting example of reforms conducted in the spirit of NPM, because it relates to welfare and health care and to the competences of provincial and local authorities in most European countries. This paper addresses the following questions: What do we know about the reforms conducted in the spirit of NPM and its practical implication within the field of care for the elderly during 1990 - 2010? What kind of knowledge about care for the elderly is still missing and should be developed in the future ? Th is paper conducts comparative research on what is known about the effects of the Swedish and the Polish reforms regarding care for the elderly. It argues that most literature points to negative effects, but also to the fact that there are still gaps in our knowledge about the effects of reforms concerning elderly care, especially regarding its organization. Hence, despite all the research done, we do not know what kind of social and health-care services for seniors represent the best practices for the future.


2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Nurul Hudani Md Nawi ◽  
Puteri Hayati Megat Ahmad Hayati Megat Ahmad ◽  
Mohd Dahlan A. Malek ◽  
Getrude Cosmas ◽  
Habibie Ibrahim Ibrahim ◽  
...  

This study aims to identify the psychological and social supports on intergenerational relationships among adult children who care for the elderly (parents) in the multi-ethnic community of Sabah. The objective of the study was to examine the influence of emotional and social support on the intergenerational relationship in the elderly care. There are 200 questionnaires that can be used from 250 respondents consisting of young adults who play the role of guardians of the elderly. Three sets of questionnaires were used in this study: the Parent-Child Interaction Questionnaire-Revised (PACHIQ-R) (Lange, 2001) questionnaire was adapted in this study is the current version of the results of the modification from the First Phase version of The Parent- Child Interaction Questionnaire (PACHIQ) (Lange, Blonk & Wiers, 1998) to measure the intergeneration relationship. Next, The Emotional Support Scale questionnaire (ESS) developed by Hisada, Seng and Minoguchi (1989) was used to measure psychological support whereas Social Support Questionnaire (SSQ) by Sarason, Levine, Basham (1983) for measuring social support.  Regression analysis from SPSS software was used to analysis the influence between variables. Studies show that emotional support contributes to the intergenerational relationship. Social support contributes 27 percent to variance in intergenerational relationships. While the combination of two forms of social and emotional support contributes 40 percent variance to the intergenerational relationship, an increase of 13 percent. This finding shows that both forms of support can help improve intergenerational relationships between children acting as guardians with older parents. The implication of this study suggests that there is a need to develop a policy module based on the National Elderly Policy (DWEN) which needs to be done in holistic and integrated national action plans to ensure the welfare of the guardians as well as the elderly.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Chun Yi ◽  
Xiqiang Feng

This paper explores and analyses the interactive home geriatric two-way video health care system, investigates and analyses the daily lives and behaviours of the elderly in their homes through research interviews, obtains the main needs of the elderly population in their lives, as well as their cognitive and behavioural characteristics, and proposes four service function modules for the elderly in their homes; then, combining service design and interaction design theory, we propose the following four service modules for the elderly in their homes. Given the design methods and processes of the intelligent service system for the elderly at home as well as the interface interaction design principles on the three levels of vision, interaction, and reflection, the intelligent service system platform for the elderly at home was constructed, the interaction design of the mobile device terminal software of the service system platform practiced in the form of APP, and the eye-movement experiment method and fuzzy hierarchical analysis were applied to the design of the intelligent service system for the elderly at home from qualitative and quantitative perspectives. The thesis study provides a new way of thinking to design and provide intelligent service system products for the elderly living at home, which is an important contribution to society’s care for the elderly and their quality of life. The key features of the human skeleton are extracted from the model of abnormal leaning and falling behaviour of the elderly, and the SVM machine learning method is used to classify and identify the data, which enables the identification of the abnormal behaviour of the elderly at home with an accuracy of 97%.


Sign in / Sign up

Export Citation Format

Share Document